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ANNETTE M JONGSMA MS, LPCA
NPI 1831874916
Counselor in Bridgeport, CT

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment
1120 LAUREL AVE, BRIDGEPORT, CT 06604(203) 209-6913 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Annette M Jongsma Ms, Lpca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNETTE M JONGSMA MS, LPCA (NPI 1831874916) is an individual counselor in Bridgeport, Connecticut, licensed in Connecticut (6447) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831874916
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANNETTE M JONGSMACredential: MS, LPCA
Location Address1120 LAUREL AVEBridgeport, CT 06604-2148
Mailing Address1120 Laurel AveBridgeport, CT 06604-2148 · (203) 209-6913
Phone(203) 209-6913
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 16, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1831874916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CT · 6447
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1120 LAUREL AVE, Bridgeport, CT 06604
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annette M Jongsma Ms, Lpca is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537648597
PECOS Enrollment IDI20260210000974
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Annette Jongsma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South-West Community Health Center, Inc
1.2 mi
Mental Health (Including Community Mental Health Center)
46 ALBION ST
Bridgeport, CT 06605
  • Reassigned Medicare billing, Connecticut enrollment
  • 126 clinicians in this Medicare group
NPI 1699703686 (203) 330-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annette Jongsma's NPI number?

The NPI number for Annette Jongsma is 1831874916. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Annette Jongsma located?

Annette Jongsma practices at 1120 Laurel Ave, Bridgeport, CT 06604. The listed phone number is (203) 209-6913.

What is Annette Jongsma's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Annette Jongsma enrolled in Medicare?

Yes. Annette Jongsma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Annette Jongsma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annette Jongsma reassigns Medicare benefits to South-West Community Health Center, Inc (Bridgeport, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annette Jongsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Annette Jongsma was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.