Katherine Phelps Lauretano, LPC
Individual provider Active NPI Professional Counselor · Litchfield, CT
NPI 1194248617 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1194248617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 003218 (CT)
- Practice address
- 66 Goodhouse Rd
Litchfield, CT 06759-2214 - Phone
- (860) 307-2776
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3218 | CT | MD | Psychologist |
| 003218 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current |
Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 003218 | CT | Yes |
Addresses
Primary practice location
66 Goodhouse Rd
Litchfield, CT 06759-2214
Mailing address
66 Goodhouse Rd
Litchfield, CT 06759-2214
Phone (860) 307-2776
Other providers in Litchfield, CT
- Randolph Clay Kinkade
- Kirk Round DMD PC
- Paul Kuczo
- Nancy Kutz
- Cheryl Andrea Lambert
- Catherine A Lavoie
- Ann B Leviness
- Litchfield Ambulance Association Inc
- Litchfield Assoc. for Retarded Citizens
- Litchfield Center Dental PC
All providers in Litchfield, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.