Active NPIIndividual providerSole proprietor

Mrs. Jennifer M Chase, ATR-BC, LPC

Counselor, Professional in East Haven, Connecticut

NPI Number1760665020
Practice location
310 Main Street, East Haven, CT 06511
Fax
—
Last updated
October 21, 2016

Jennifer M Chase is a Counselor, Professional based in East Haven, CT. Jennifer M Chase practices in East Haven, CT and has the professional credentials of ATR-BC, LPC. The NPI Number for Jennifer M Chase is 1760665020 and holds a License No. 000703 (CT). The current practice location address for Jennifer M Chase is 310 Main Street, East Haven, CT 06511 and can be reached out via phone at 203-606-1228.

Provider Profile Details

NPI Number
1760665020
Provider Name
Jennifer M Chase
Credential
ATR-BC, LPC
Provider Entity Type
Individual
Gender
Female
Address
310 Main Street, East Haven, CT 06511
Phone Number
203-606-1228
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Other Names
Ms. Jennifer M Gosselin, ATR-BC, LPC (Former Name)
Provider Enumeration Date
December 10, 2007
Last Update Date
October 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Main Street
East Haven, CT 06511
Zip
06511
Phone Number
203-606-1228
East Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
310 Main St
East Haven, CT 06512-2919
City
East Haven
State
CT
Zip
06512-2919
Phone Number
203-606-1228

License Information

License Number
000703
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · 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 Mrs. Jennifer M Chase, ATR-BC, LPC?

The NPI number of Mrs. Jennifer M Chase, ATR-BC, LPC is 1760665020. It was assigned on December 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer M Chase, ATR-BC, LPC?

Mrs. Jennifer M Chase, ATR-BC, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 000703.

Where does Mrs. Jennifer M Chase, ATR-BC, LPC practice?

The practice location is 310 Main Street, East Haven, CT 06511. The office can be reached at 203-606-1228 (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 1760665020 directly on the NPPES registry website.

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