Individual provider Active NPI

Amanda Christine Pasciucco, PHD, LMFT, AASECTCST

  • Marriage & Family Therapist
  • West Hartford, CT
National Provider Identifier
1225461940
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001556 Issued in CT
Practice address
801 Farmington Ave Ste 2C
West Hartford, CT 06119-1672
Phone
(203) 733-9600
NPI assigned
Aug 16, 2013
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 001556 CT Primary

Addresses

Primary practice location

801 Farmington Ave Ste 2C
West Hartford, CT 06119-1672

Mailing address

801 Farmington Ave Ste 2C
West Hartford, CT 06119-1672
Phone (203) 733-9600

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
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Life Coaching and Therapy LLC CurrentSince Aug 6, 2023 Accepting new patients
Trauma Transformation LLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

801 Farmington Ave
Ste 2C
West Hartford, CT 06119
Phone (203) 733-9600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1225461940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 FARMINGTON AVE STE 2C",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191672",
            "telephone_number": "203-733-9600",
            "fax_number": "855-597-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 FARMINGTON AVE STE 2C",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191672",
            "telephone_number": "203-733-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCIUCCO",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "PHD, LMFT, AASECTCST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2023-08-03",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.