Individual provider Active NPI

Carolee Anne Paruta, LMFT, LADC

  • Marriage & Family Therapist
  • Wilton, CT
National Provider Identifier
1104348176
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000951 Issued in CT
Practice address
372 Danbury Rd
Wilton, CT 06897-2523
Phone
(860) 824-1397
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000943 CT
Marriage & Family Therapist 106H00000X 000369 NY
Marriage & Family Therapist 106H00000X 000951 CT Primary

Addresses

Primary practice location

372 Danbury Rd
Wilton, CT 06897-2523

Mailing address

173 Lincoln Ave E
West Harrison, NY 10604-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240329000509 CT Practitioner - Mental Health Counselor 1052759875 Reassigns benefits to 1 organization
I20241029002216 CT Practitioner - Marriage and Family Therapist 1052759875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberation Programs IncGroup PAC ID 8729413604, 11 clinicians
Joanne L Montgomery LLCGroup PAC ID 0749602274, 2 clinicians

Practice addresses (Care Compare)

125 Main St
Stamford, CT 06901-2818
Phone (203) 391-7929

57 Plains Rd
Suite 1E
Milford, CT 06461-2573
Phone (203) 913-6439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000943CTMDMarriage & Family Therapist
000369NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne L Montgomery, LLC Addiction (Substance Use Disorder) CurrentSince Aug 19, 2024 Accepting new patients
Liberation Programs Inc Current Accepting new patients
Liberation Programs Inc CurrentSince Jan 22, 2024 Accepting new patients
MC1 Healthcare Past Accepting new patients

Locations

339 West Ave
Bridgeport, CT 06604

57 Plains Rd
Ste 1E
Milford, CT 06461
Phone (203) 500-8339

125 Main St
Stamford, CT 06901
Phone (203) 391-7906

Organizations & group practices 4

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1104348176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 LINCOLN AVE E",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972523",
            "telephone_number": "860-824-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUTA",
        "first_name": "CAROLEE",
        "middle_name": "ANNE",
        "credential": "LMFT, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000943",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000369",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.