Individual provider Active NPI

Geena Lovallo, LMFT

  • Marriage & Family Therapist
  • Tolland, CT
National Provider Identifier
1336710706
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
27.002577 Issued in CT
Practice address
392 Merrow Rd Ste E
Tolland, CT 06084-3974
Phone
(860) 830-7838
Fax
(860) 454-0667
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3289 CT
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 27.002577 CT Primary

Addresses

Primary practice location

392 Merrow Rd Ste E
Tolland, CT 06084-3974

Mailing address

187 S Canaan Rd
Canaan, CT 06018-2544
Phone (860) 362-5039

Other practice location 1

187 S Canaan Rd
Canaan, CT 06018-2544
Phone (860) 362-5039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27.002577CTMDMarriage & Family Therapist
3289CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Ocd Institute, LLC Marriage & Family Therapist CurrentSince Jun 25, 2023 Accepting new patients
Behavioral Wellness Clinic PastSince Jul 17, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1336710706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 S CANAAN RD",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182544",
            "telephone_number": "860-362-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 MERROW RD STE E",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843974",
            "telephone_number": "860-830-7838",
            "fax_number": "860-454-0667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 S Canaan Rd",
            "address_purpose": "LOCATION",
            "city": "Canaan",
            "state": "CT",
            "postal_code": "060182544",
            "country_code": "US",
            "telephone_number": "860-362-5039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVALLO",
        "first_name": "GEENA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "3289",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "27.002577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.