Mrs Jill Catherine Humphrey, LPC, NBCC, MS,BA | |
141 E Main St, Wellmore Inc-3rd Floor, Waterbury, CT 06702-2310 | |
(203) 575-0456 | |
(203) 575-1817 |
Full Name | Mrs Jill Catherine Humphrey |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 141 E Main St, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487808143 | NPI | - | NPPES |
008037434 | Medicaid | CT | |
4687873 | Other | CT | CIGNA BEHAVIORAL HEALTH |
060669107 | Other | CT | UBH-CONNECTICARE WELLMORE GRP/FACILITY |
D339123 141 E MAIN | Other | CT | BEACON HEALTH STRATEGIES |
060669107 | Other | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
539524 | Other | CT | MHN MANAGED HEALTHCARE |
9403704 | Other | CT | AETNA BEHAVIORAL HEALTH |
NBCC-62197 | Other | CT | NATIONAL BOARD OF CERTIFIED COUNSELORS |
060669107 | Other | CT | OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY |
060669107 | Other | CT | UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY |
539524 PENDING | Other | CT | MHN TRICARE NORTH |
060669107 | Other | CT | UBH- OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY |
13540256 | Other | CT | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 001348 (Connecticut) | Primary |
Entity Name | The Charlotte Hungerford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jill Catherine Humphrey, LPC, NBCC, MS,BA 141 E Main St, 4th Floor Administration, Waterbury, CT 06702-2310 Ph: (203) 574-9000 | Mrs Jill Catherine Humphrey, LPC, NBCC, MS,BA 141 E Main St, Wellmore Inc-3rd Floor, Waterbury, CT 06702-2310 Ph: (203) 575-0456 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Shana A Santana, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mrs. Elizabeth Joan Prete, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 S Main St, Suite 1, Waterbury, CT 06706 Phone: 203-596-9724 Fax: 203-759-0566 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 |