Lisa Lacen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1771 Issued in CT

Practice address

1224 Mill St Ste B001
East Berlin, CT 06023-1166

Phone

(860) 578-2020

NPI assigned

Aug 13, 2012

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa Lacen-Romero Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thrivingjourney@ctproviderdirect.org

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.

• Thriving Journey Therapy, PLLC

  • Marriage & Family Therapist
  • East Berlin, CT
  • NPI 1942840319
  Medicare reassignment NPD Authorized official
• Lisa Lacen-Romero, LMFT

  • Marriage & Family Therapist
  • Newington, CT
  • NPI 1003289208
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1306193966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BEACON ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114702",
            "telephone_number": "860-578-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MILL ST STE B001",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231166",
            "telephone_number": "860-578-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEN",
        "first_name": "LISA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008062479",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LACEN-ROMERO",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evernorth Care Providers - Delaware PA
• Mallory Alexis Freeman, APRN
• Gretchen Ruth Hale-West, LPC
• Sarah Hoxha
• Journey to New Beginnings LLC.
• Sehee Lee
• Live in Truth Therapeutic Services LLC
• Mac Mental & Physical Wellness LLC
• Agnes Matug, OT ASSISTANT
• Rachael Medina, LMFT

• 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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.