| Jill Nicolia, | |
|
2 Corporate Dr Ste 950, Shelton, CT 06484-6246 | |
| (203) 293-0224 | |
| Not Available |
| Full Name | Jill Nicolia |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 13 Years |
| Location | 2 Corporate Dr Ste 950, Shelton, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265295422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 002581 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mja Behavioral Health And Wellness | 8820441264 | 12 |
| Entity Name | Mja Behavioral Health and Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215663018 PECOS PAC ID: 8820441264 Enrollment ID: O20240201000952 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Nicolia, 30 Bear Paw Rd, Trumbull, CT 06611-1408 Ph: (203) 984-5653 | Jill Nicolia, 2 Corporate Dr Ste 950, Shelton, CT 06484-6246 Ph: (203) 293-0224 |
Ms. Johanna Vonhollinger, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25 Church St, Shelton, CT 06484 Phone: 203-929-1117 |
Dr. Edward C. Keane, ED.D., PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8 Huntington St, Suite 200, Shelton, CT 06484 Phone: 203-929-1234 |
Kelly Nicole O'keefe, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1 Waterview Dr, Shelton, CT 06484 Phone: 203-336-5225 |
Christa Coppola, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1 Enterprise Dr Ste 415, Shelton, CT 06484 Phone: 203-255-5078 |
Mr. Victor L Pittman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 30 Controls Dr, Shelton, CT 06484 Phone: 203-944-0366 Fax: 203-944-0156 |
Ms. Mindy Ann Natale, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 525 Bridgeport Ave Unit 100, Shelton, CT 06484 Phone: 203-305-8557 |
Susan Jean Mcgowan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 483 Pumpkin Hill Rd, Shelton, CT 06484 Phone: 203-400-7469 Fax: 203-365-4916 |