Individual provider Active NPI

Cynthia Eliezer, LPC

  • Professional Counselor
  • Stratford, CT
National Provider Identifier
1144763434
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5548 Issued in CT
Practice address
3380 Main St
Stratford, CT 06614-4860
Phone
(860) 532-0558
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5548 CT Primary

Addresses

Primary practice location

3380 Main St
Stratford, CT 06614-4860

Mailing address

3380 Main St
Stratford, CT 06614-4860
Phone (860) 532-0558

Other practice location 1

120 East Ave 2nd Flr.
Norwalk, CT 06851
Phone (203) 750-9711

Other names 1

  • Cynthia Abilhomme Former name

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

LicenseStateTypeSpecialty
5548CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Fairfield County Inc PastSince Jun 11, 2023 Accepting new patients
Catholic Charities of Fairfield County, Inc. PastSince Sep 8, 2003 Accepting new patients

Organizations & group practices 2

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": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1144763434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144860",
            "telephone_number": "860-532-0558",
            "fax_number": "203-738-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144860",
            "telephone_number": "860-532-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 East Ave 2nd Flr.",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "06851",
            "country_code": "US",
            "telephone_number": "203-750-9711",
            "fax_number": "203-750-9651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIEZER",
        "first_name": "CYNTHIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "ABILHOMME",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.