Provider Demographics
NPI:1992686653
Name:INGRISELLI, MONEKE (MA IN CMHC, LPC-A)
Entity type:Individual
Prefix:
First Name:MONEKE
Middle Name:
Last Name:INGRISELLI
Suffix:
Gender:F
Credentials:MA IN CMHC, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PINE HILL RD
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-3727
Mailing Address - Country:US
Mailing Address - Phone:860-879-9290
Mailing Address - Fax:
Practice Address - Street 1:11 PINE HILL RD
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-3727
Practice Address - Country:US
Practice Address - Phone:860-879-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health