Elizabeth Wilson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1848 Issued in CT

Practice address

63 Wall St
Madison, CT 06443-3121

Phone

(203) 318-4224

NPI assigned

Oct 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Opted out of Medicare

Yes, effective Jun 25, 2026 through Jun 25, 2028

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ehw Counseling & Therapy LLC

  • Marriage & Family Therapist
  • Madison, CT
  • NPI 1295278539

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Ehw Marriage and Family Therapy LLC

  • Marriage & Family Therapist
  • Madison, CT
  • NPI 1932032372
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1215309174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064430179",
            "telephone_number": "203-318-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 WALL ST",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433121",
            "telephone_number": "203-318-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1169",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Michael Weiss, DMD
• Mary Elizabeth Whalen
• Gail Barbara Whitman, M.D.
• Wildwood Behavioral Health, LLC
• Patrice M Wilhelm, APRN
• Evan Woodford
• Scott H. Woodford, DMD
• Brandon Wright
• Shannon Wynne, LCSW
• Leah M Yazmer, CCLS

• Marriage & Family Therapist in Madison, CT
• Providers in Madison, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.