Agnieszka Kulak LMFT LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AGNIESZKA KULAK LMFT LLC

Practice address

183 Howe Ave
Shelton, CT 06484-3323

Phone

(203) 321-3104

NPI assigned

Sep 13, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Agnieszka Kulak, LMFTNPI 1538562582

Title

Owner

Phone

(203) 321-3104

Specialties & licenses 1

Addresses

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.

• Agnieszka Kulak

  • Marriage & Family Therapist
  • Meriden, CT
  • NPI 1538562582
  NPD Authorized official

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1114753266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHARLES RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833810",
            "telephone_number": "203-321-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HOWE AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843323",
            "telephone_number": "203-321-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNIESZKA KULAK LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "KULAK",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-321-3104",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.