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JACQUELINE PROULX
NPI 1972849255
Marriage & Family Therapist in Dayville, CT

Active since December 14, 2012PECOS EnrolledAccepts Medicare Assignment
1007 N MAIN ST, DAYVILLE, CT 06241(860) 774-2020(260) 774-0826 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Proulx NPPES

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

JACQUELINE PROULX (NPI 1972849255) is an individual marriage & family therapist in Dayville, Connecticut and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1972849255
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE PROULX
Location Address1007 N MAIN STDayville, CT 06241-2170
Mailing Address1007 N Main StDayville, CT 06241-2170 · (860) 774-2020 · Fax (260) 774-0826
Phone(860) 774-2020
Fax(260) 774-0826
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 14, 2012
Last NPPES UpdateAugust 18, 2014
✔ NPI 1972849255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1007 N MAIN ST, Dayville, CT 06241
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Proulx 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 ID749620474
PECOS Enrollment IDI20240429002815
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARA KORNFELD LMSW
Social Worker
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
MALLORY OZYCZ
Social Worker
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
BRYAN KEITH SALAI LCSW
Social Worker (Clinical)
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
JAVIER SANTANA LMSW
Social Worker
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
JOSHUA A LONGIARU
Technician, Health Information
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 336-9239
UNITED SERVICES INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
UNITED SERVICES
Health Maintenance Organization
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 456-2261
SHELBY CHAMPAGNE MSW INTERN
Social Worker (Clinical)
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020

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 Jacqueline Proulx's NPI number?

The NPI number for Jacqueline Proulx is 1972849255. It was assigned to this individual provider in the NPPES registry on December 14, 2012.

Where is Jacqueline Proulx located?

Jacqueline Proulx practices at 1007 N Main St, Dayville, CT 06241. The listed phone number is (860) 774-2020.

What is Jacqueline Proulx's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Proulx enrolled in Medicare?

Yes. Jacqueline Proulx 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Proulx was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.