Individual provider Active NPI

Cynthia Anne Lipeika, LMFT

  • Marriage & Family Therapist
  • Middlebury, CT
National Provider Identifier
1073637047
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000602 Issued in CT
Practice address
984 Southford Rd
Middlebury, CT 06762-3234
Phone
(203) 758-2400
Fax
(203) 758-2415
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000602 CT Primary

Addresses

Primary practice location

984 Southford Rd
Middlebury, CT 06762-3234

Mailing address

984 Southford Rd
Middlebury, CT 06762-3234
Phone (203) 758-2400

Other identifiers 4

IdentifierTypeStateIssuer
2011420OtherCTCIGNA BEHAVIORAL HEALTH
122377OtherCTVALUE OPTIONS
247582OtherCTMAGELLAN
2011420OtherCTCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212002083 CT Practitioner - Marriage and Family Therapist 1658714183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000602CTMDMarriage & Family Therapist
602CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Center for Counseling & Learning, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Compassionate Care Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

1000 Bridgeport Ave
Ste 202
Shelton, CT 06484
Phone (203) 712-9998

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073637047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 SOUTHFORD RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623234",
            "telephone_number": "203-758-2400",
            "fax_number": "203-758-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 SOUTHFORD RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623234",
            "telephone_number": "203-758-2400",
            "fax_number": "203-758-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPEIKA",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2011420",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "122377",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "247582",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2011420",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.