Individual provider Active NPI

Lisa A Leogrande, LPC

  • Professional Counselor
  • Ansonia, CT
National Provider Identifier
1316091267
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001473 Issued in CT
Practice address
435 E Main St
Ansonia, CT 06401-1964
Phone
(203) 736-2601
NPI assigned
Jan 22, 2007
Last updated
May 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001473 CT Primary

Addresses

Primary practice location

435 E Main St
Ansonia, CT 06401-1964

Mailing address

76 Deepwood Dr
Waterbury, CT 06708-2907
Phone (203) 736-2601

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
I20241126001050 CT Practitioner - Mental Health Counselor 7416482559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

621 Main St
FL 2
Watertown, CT 06795-2627
Phone (203) 430-0315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001473CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Stages Counseling and Consultation LLC Professional CurrentSince Oct 22, 2024 Accepting new patients

Locations

621 Main St
Fl 2
Watertown, CT 06795
Phone (203) 430-0315

Organizations & group practices 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1316091267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 DEEPWOOD DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082907",
            "telephone_number": "203-736-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-736-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOGRANDE",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.