Individual provider Active NPI

Lauren Depietro

  • Addiction (Substance Use Disorder) Counselor
  • West Haven, CT
National Provider Identifier
1245863745
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001322 Issued in CT
Practice address
415 Main St
West Haven, CT 06516-4296
Phone
(203) 931-1184
Fax
(203) 931-0063
NPI assigned
Feb 13, 2020
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001322 CT Primary

Addresses

Primary practice location

415 Main St
West Haven, CT 06516-4296

Mailing address

1460 Elm St
Stratford, CT 06615-7062

Other identifiers 1

IdentifierTypeStateIssuer
001322OtherCTSTATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007001906 CT Practitioner - Mental Health Counselor 9133650781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
WCT Behavioral Health and Medication Management PLLCGroup PAC ID 8820480734, 30 clinicians

Practice addresses (Care Compare)

211 Schraffts Dr
Lowr Level
Waterbury, CT 06705-3222
Phone (203) 518-8218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions of Cheshire CurrentSince Jan 24, 2026 Accepting new patients
WCT Behavioral Health & Medication Management PLLC CurrentSince Aug 22, 2024 Accepting new patients
Room to Grow Counseling Addiction (Substance Use Disorder) CurrentSince Apr 1, 2025 Accepting new patients

Locations

420 Highland Ave
Ste B1
Cheshire, CT 06410
Phone (203) 651-8604

915 Sullivan Ave
Ste 4A
South Windsor, CT 06074
Phone (860) 255-8577

211 Schraffts Dr
Lowr
Waterbury, CT 06705
Phone (203) 518-8218

Organizations & group practices 3

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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1245863745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 ELM ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164296",
            "telephone_number": "203-931-1184",
            "fax_number": "203-931-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPIETRO",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "001322",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.