Organization Active NPI

White Lotus Counseling and Psychotherapy, LLC

  • Mental Health Counselor
  • Fairfield, CT
National Provider Identifier
1104209808
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002279 Issued in CT
Legal business name
WHITE LOTUS COUNSELING AND PSYCHOTHERAPY, LLC
Practice address
39 Sherman CT
2ND Floor
Fairfield, CT 06824-5852
Phone
(203) 216-1716
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Ms. Grace M Thomas, LPC
Title
Owner
Phone
(203) 216-1716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 002279 CT Primary

Addresses

Primary practice location

39 Sherman CT
2ND Floor
Fairfield, CT 06824-5852

Mailing address

19 Lincoln St
Trumbull, CT 06611-4610
Phone (203) 216-1716

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1104209808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LINCOLN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114610",
            "telephone_number": "203-216-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHERMAN CT",
            "address_2": "2ND FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245852",
            "telephone_number": "203-216-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LOTUS COUNSELING AND PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-216-1716",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "002279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.