Individual provider Active NPI

Lisa A Taylor-Austin, NCC, LPC, LMHC, CFMH

  • Professional Counselor
  • Milford, CT
National Provider Identifier
1114916574
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1282 Issued in CT
Practice address
57 Plains Rd
Suite 2C
Milford, CT 06461-2573
Phone
(203) 522-6164
Fax
(855) 855-1870
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0019290 CO
Professional Counselor 101YP2500X 1282 CT Primary

Addresses

Primary practice location

57 Plains Rd
Suite 2C
Milford, CT 06461-2573

Mailing address

415 Boston Post Rd Ste 3-1118
Milford, CT 06460-2578
Phone (203) 522-6164

Other identifiers 7

IdentifierTypeStateIssuer
008069396981MedicaidCT
291145000OtherCTMAGELLAN
108346OtherCTUBH
240001282CT02OtherCTANTHEM
264405OtherCTMHN
60054OtherCTAETNA
9000227085MedicaidCO

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
I20240116000225 CT Practitioner - Mental Health Counselor 9739531815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

415 Boston Post Rd
Milford, CT 06460-2578
Phone (203) 522-6164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019290COMDProfessional Counselor
1282CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Taylor-Austin Group, LLC Professional CurrentSince Feb 2, 2002 Accepting new patients

Locations

415 Boston Post Rd
Ste 31118
Milford, CT 06460
Phone (203) 522-6164

57 Plains Rd
Ste 2C
Milford, CT 06461
Phone (203) 522-6164

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1114916574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BOSTON POST RD STE 3-1118",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602578",
            "telephone_number": "203-522-6164",
            "fax_number": "855-855-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PLAINS RD",
            "address_2": "SUITE 2C",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612573",
            "telephone_number": "203-522-6164",
            "fax_number": "855-855-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-AUSTIN",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NCC, LPC, LMHC, CFMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0019290",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008069396981",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "291145000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "108346",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "240001282CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "264405",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000227085",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.