Individual provider Active NPI

Trina Wong, LMFT

  • Marriage & Family Therapist
  • Stratford, CT
National Provider Identifier
1164936951
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001955 Issued in CT
Practice address
65 River Bend Rd Unit D
Stratford, CT 06614-8406
Phone
(203) 671-5836
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001955 CT Primary

Addresses

Primary practice location

65 River Bend Rd Unit D
Stratford, CT 06614-8406

Mailing address

65 River Bend Rd Unit D
Stratford, CT 06614-8406
Phone (203) 671-5836

Other identifiers 1

IdentifierTypeStateIssuer
004069985MedicaidCT

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
I20240603003270 CT Practitioner - Marriage and Family Therapist 8729420989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

42 Newport PL
Fairfield, CT 06825-2536
Phone (203) 671-5836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001955CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trina Wong, LLC Marriage & Family Therapist CurrentSince Apr 1, 2024 Accepting new patients
Lifebridge Community Services, Inc. PastSince Nov 1, 2016 Accepting new patients
Lifebridge Community Services, Inc Marriage & Family Therapist PastSince Oct 1, 2014 Accepting new patients

Organizations & group practices 3

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": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1164936951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RIVER BEND RD UNIT D",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066148406",
            "telephone_number": "203-671-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIVER BEND RD UNIT D",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066148406",
            "telephone_number": "203-671-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "TRINA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069985",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.