Individual provider Active NPI

Stacia Lynne Diloreto, LMFT

  • Marriage & Family Therapist
  • Tolland, CT
National Provider Identifier
1265539258
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000978 Issued in CT
Practice address
384 Merrow Rd Ste D
Tolland, CT 06084-3957
Phone
(860) 796-8003
NPI assigned
Sep 20, 2006
Last updated
Oct 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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 000978 CT Primary

Addresses

Primary practice location

384 Merrow Rd Ste D
Tolland, CT 06084-3957

Mailing address

PO Box 1081
Manchester, CT 06045-1081
Phone (860) 796-8003

Other identifiers 1

IdentifierTypeStateIssuer
004249175MedicaidCT

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
I20240409000664 CT Practitioner - Marriage and Family Therapist 1254779382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000978CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 15, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 15, 2025 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Feb 27, 2024 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Feb 27, 2024 Accepting new patients
Breathe,LLC Marriage & Family Therapist Past Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

21 Grand St
Hartford, CT 06106

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1265539258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060451081",
            "telephone_number": "860-796-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 MERROW RD STE D",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843957",
            "telephone_number": "860-796-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILORETO",
        "first_name": "STACIA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004249175",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

Verify at the official NPI Registry.