Active NPIIndividual providerSole proprietor

Dr. Misty M Ginicola, PHD, LPC

Counselor, Mental Health in West Haven, Connecticut

NPI Number1366989816
Practice location
672 W Main St, West Haven, CT 06516-4826
Fax
—
Last updated
January 23, 2017

Misty M Ginicola is a Counselor, Mental Health based in West Haven, CT. Misty M Ginicola practices in West Haven, CT and has the professional credentials of PHD, LPC. The NPI Number for Misty M Ginicola is 1366989816 and holds a License No. 002631 (CT). The current practice location address for Misty M Ginicola is 672 W Main St, West Haven, CT 06516-4826 and can be reached out via phone at 203-339-1062.

Provider Profile Details

NPI Number
1366989816
Provider Name
Misty M Ginicola
Credential
PHD, LPC
Provider Entity Type
Individual
Gender
Female
Address
672 W Main St, West Haven, CT 06516-4826
Phone Number
203-339-1062
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 23, 2017
Last Update Date
January 23, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
672 W Main St
West Haven, CT 06516-4826
Zip
06516-4826
Phone Number
203-339-1062
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
672 W Main St
West Haven, CT 06516-4826
City
West Haven
State
CT
Zip
06516-4826
Phone Number
203-339-1062

License Information

License Number
002631
License State
CT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Misty M Ginicola, PHD, LPC?

The NPI number of Dr. Misty M Ginicola, PHD, LPC is 1366989816. It was assigned on January 23, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Misty M Ginicola, PHD, LPC?

Dr. Misty M Ginicola, PHD, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 002631.

Where does Dr. Misty M Ginicola, PHD, LPC practice?

The practice location is 672 W Main St, West Haven, CT 06516-4826. The office can be reached at 203-339-1062 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366989816 directly on the NPPES registry website.

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