Active NPI
Mirian I Laracuente, BS
- Counselor
- Hartford, CT
National Provider Identifier
1194366336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 55 Fishfry St
Hartford, CT 06120-1203 - Phone
- (860) 247-8300
- NPI assigned
- Sep 30, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
55 Fishfry St
Hartford, CT 06120-1203
Mailing address
55 Fishfry St
Hartford, CT 06120-1203
Phone (860) 247-8300
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hcrcenters.com | ||
| Other URL | hcrcenters.com |
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians PC | Past | Accepting new patients | |
| Community Substance Abuse Centers, 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Hartford, CT
- NPI 1487637724
-
- Methadone Clinic
- Portland, ME
- NPI 1316242209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1194366336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FISHFRY ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061201203",
"telephone_number": "860-247-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FISHFRY ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061201203",
"telephone_number": "860-247-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARACUENTE",
"first_name": "MIRIAN",
"middle_name": "I",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hcrcenters.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "55 Fishfry St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061201203",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hcrcenters.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "55 Fishfry St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061201203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.