MRS. JILL CATHERINE HUMPHREY LPC NBCC MSBA NPI 1487808143

NPI Information

NPI: 1487808143
Provider Name: MRS. JILL CATHERINE HUMPHREY, LPC, NBCC, MS,BA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
141 E MAIN ST
WELLMORE INC-3RD FLOOR
WATERBURY, CT
ZIP 06702
Phone: (203) 575-0456
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MRS. Jill Catherine Humphrey, LPC, NBCC, MS,BA is a professional counselor in Waterbury, CT. MRS. Jill Catherine Humphrey, LPC, NBCC, MS,BA NPI is 1487808143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

141 E MAIN ST
WELLMORE INC-3RD FLOOR
WATERBURY, CT
ZIP 06702-310
Phone: (203) 575-0456
Fax: (203) 575-1817

The NPI 1487808143 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 5/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	001348	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060669107	OTHER	CONNECTICUT	UBH- OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY
2	539524 PENDING	OTHER	CONNECTICUT	MHN TRICARE NORTH
3	060669107	OTHER	CONNECTICUT	OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
4	13540256	OTHER	CONNECTICUT	CAQH
5	D339123 141 E MAIN	OTHER	CONNECTICUT	BEACON HEALTH STRATEGIES
6	008037434	MEDICAID	CONNECTICUT
7	060669107	OTHER	CONNECTICUT	UBH-CONNECTICARE WELLMORE GRP/FACILITY
8	060669107	OTHER	CONNECTICUT	UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
9	539524	OTHER	CONNECTICUT	MHN MANAGED HEALTHCARE
10	NBCC-62197	OTHER	CONNECTICUT	NATIONAL BOARD OF CERTIFIED COUNSELORS
11	060669107	OTHER	CONNECTICUT	ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
12	060669107	OTHER	CONNECTICUT	HEALTHYCT WELLMORE GRP/FACILITY
13	NOT ELIGIBLE	MEDICARE PIN	CONNECTICUT
14	4687873	OTHER	CONNECTICUT	CIGNA BEHAVIORAL HEALTH
15	9403704	OTHER	CONNECTICUT	AETNA BEHAVIORAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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