Organization Active NPI

Ann M. Pacheco LMFT, LLC

  • Marriage & Family Therapist
  • Mansfield Center, CT
National Provider Identifier
1033659362
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0000531CT Issued in CT
Legal business name
ANN M. PACHECO LMFT, LLC
Practice address
2 Mansfield Hollow Rd
Mansfield Center, CT 06250-1314
Phone
(860) 423-0877
NPI assigned
Mar 6, 2017
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Ann M. Pacheco, LMFTNPI 1790907640
Title
Owner
Phone
(860) 423-0877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0000531CT CT Primary

Addresses

Primary practice location

2 Mansfield Hollow Rd
Mansfield Center, CT 06250-1314

Mailing address

2 Mansfield Hollow Rd
Mansfield Center, CT 06250-1314
Phone (860) 423-0877

Other identifiers 1

IdentifierTypeStateIssuer
00402008CTMedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240517002208 CT Part B Supplier - Clinic/Group Practice 5294176491 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield Ctr, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1033659362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MANSFIELD HOLLOW RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501314",
            "telephone_number": "860-423-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MANSFIELD HOLLOW RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501314",
            "telephone_number": "860-423-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN M. PACHECO LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-423-0877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "0000531CT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00402008CT",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Center, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.