Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jimmy Glenn Doolittle

Individual provider Professional Counselor · NPI 1396376257

Jimmy Glenn Doolittle is a Mental Health Counselor in Torrington, Connecticut. Qualified in 2005, 21 years ago. Practices with Mansfield Mental Health and Addiction Medicine, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and Mississippi.

Years since qualifying
21
Licensed in
CT, MS
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

990 Migeon Ave
Torrington, CT 06790-4555
Phone: (203) 525-1233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1520 29th Ave Ste Gulfport, Gulfport, MS 39501-2843 — (228) 284-2644

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 005290 (CT)
Professional Counselor Taxonomy 101YP2500X · Licence 1622 (MS)

Record details

NPI number1396376257
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2020
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address4319 W Railroad St, Gulfport, MS 39501-1407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mansfield Mental Health And Addiction Medicine — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Torrington