Organization Active NPI

Laura Gionfriddo, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wethersfield, CT
National Provider Identifier
1225705668
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAURA GIONFRIDDO, LLC
Practice address
111 Main St
Wethersfield, CT 06109-3125
Phone
(860) 256-9619
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Laura GionfriddoNPI 1508347345
Title
LMFT
Phone
(860) 256-9619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

111 Main St
Wethersfield, CT 06109-3125

Mailing address

111 Main St
Wethersfield, CT 06109-3125

National Provider Directory

National Provider Directory

Locations

111 Main St
Wethersfield, CT 06109
Phone (860) 256-9619

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1225705668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093125",
            "telephone_number": "860-256-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA GIONFRIDDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "GIONFRIDDO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "860-256-9619"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.