Mountain Laurel Mental Health LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MOUNTAIN LAUREL MENTAL HEALTH LLC

Practice address

1224 Mill St BLDG B
East Berlin, CT 06023-1159

Phone

(860) 406-4894

NPI assigned

Jun 11, 2025

Last updated

Nov 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachael Ann Medina, LMFTNPI 1992424477

Title

Owner

Phone

(203) 379-8121

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachael Medina, LMFT

  • Marriage & Family Therapist
  • East Berlin, CT
  • NPI 1992424477
  NPD Authorized official

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1225923147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CROWN STREET EXT",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507706",
            "telephone_number": "860-406-4894",
            "fax_number": "860-406-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MILL ST BLDG B",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-406-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAUREL MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-379-8121",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sehee Lee
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• Agnes Matug, OT ASSISTANT
• Rachael Medina, LMFT
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• Path to Empowered Healing Counseling LLC
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• Katarzyna Politowski, FNP
• Regional Physician Services Connecticut PC (Matrix Medical Network)

• Marriage & Family Therapist in East Berlin, CT
• Providers in East Berlin, 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 Nov 25, 2025; 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.