Active NPI
Lisbeth B Dull, MS
- Professional Counselor
- Danbury, CT
National Provider Identifier
1366945479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 003224
- Practice address
- 80 West St
Danbury, CT 06810-6531 - Phone
- (203) 205-2697
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 003224 | CT | Primary |
Addresses
Primary practice location
80 West St
Danbury, CT 06810-6531
Mailing address
110 Old Branchville Rd
Ridgefield, CT 06877-6018
Phone (203) 438-9252
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003224 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Children'S Aid, Inc. | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Danbury, CT
- NPI 1821059486
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1366945479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 OLD BRANCHVILLE RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068776018",
"telephone_number": "203-438-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WEST ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106531",
"telephone_number": "203-205-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULL",
"first_name": "LISBETH",
"middle_name": "B",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "003224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.