Jimmy Glenn Doolittle
NPI 1396376257ActiveIndividual· Counselor, Professional· Torrington, CT
Counselor, Professional with Mansfield Mental Health and Addiction Medicine, practicing in Torrington, Connecticut. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1396376257 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 30, 2020 |
| Last updated in NPPES | Mar 7, 2022 |
| Certified by provider | Mar 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 005290 | CT |
| Counselor, Professional | 101YP2500X | 1622 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CT) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Mansfield Mental Health and Addiction MedicineMansfield Center, CT · 11 clinicians
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