Active NPI
Cynthia Eliezer, LPC
- Professional Counselor
- Stratford, CT
National Provider Identifier
1144763434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5548
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 5548 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Fairfield County Inc | Past | Accepting new patients | |
| Catholic Charities of Fairfield County, Inc. | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Danbury, CT
- NPI 1205050606
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, CT
- NPI 1972727394
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.