Laurel Anne Wiers, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000958 Issued in CT

Practice address

481 Gold Star Hwy
Suite 301
Groton, CT 06340

Phone

(860) 448-9755

Fax

(860) 572-4986

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laurel Watrous Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lighthouse Counseling

  • Marriage & Family Therapist
  • Groton, CT
  • NPI 1043515422
  NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376631382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "06339",
            "telephone_number": "860-448-9755",
            "fax_number": "860-572-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GOLD STAR HWY",
            "address_2": "SUITE 301",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-448-9755",
            "fax_number": "860-572-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERS",
        "first_name": "LAUREL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "WATROUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Arielle White
• Malissa D Wickersham, FNP
• Adedayo Widlak, PHARMD
• John Joseph Widlak Jr., D.M.D.
• Michael Andrew Widroff
• Corey Robin Wilfon
• Audra Marie Wilks, M.S., CCC-SLP
• Terell Willard
• Marcus Williams
• Mia F Williams, PA

• Marriage & Family Therapist in Groton, CT
• Providers in Groton, 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 Jul 8, 2007; 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.