Active NPI
Arlene N Lacerenza, LMFT
- Marriage & Family Therapist
- Milford, CT
National Provider Identifier
1114020344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001114
- Practice address
- 53 River St
Suite 11
Milford, CT 06460-3346 - Phone
- (203) 306-0220
- Fax
- (203) 907-3628
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001114 | CT | Primary |
Addresses
Primary practice location
53 River St
Suite 11
Milford, CT 06460-3346
Mailing address
53 River St
Suite 11
Milford, CT 06460-3346
Phone (203) 306-0220
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 333392 | Other | CT | MHN |
| 410001114CT01 | Other | CT | BLUE CROSS |
| 7718836 | Other | CT | AETNA |
| 410001114CT02 | Other | CT | BLUE CROSS |
| P3625938 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001114 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114020344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 RIVER ST",
"address_2": "SUITE 11",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603346",
"telephone_number": "203-306-0220",
"fax_number": "203-907-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 RIVER ST",
"address_2": "SUITE 11",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603346",
"telephone_number": "203-306-0220",
"fax_number": "203-907-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACERENZA",
"first_name": "ARLENE",
"middle_name": "N",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "333392",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "410001114CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7718836",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "410001114CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3625938",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.