Organization Active NPI

Marisol Acevedo Cruz LLC

  • Marriage & Family Therapist
  • Hartford, CT
National Provider Identifier
1376987834
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MARISOL ACEVEDO CRUZ LLC
Practice address
100 Wells St. Suite 2L
Bushnell on the Park
Hartford, CT 06103
Phone
(860) 550-0179
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Marisol Acevedo Cruz, LMFT
Title
Therapist
Phone
(860) 550-0179

Specialties & licenses 1

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

Addresses

Primary practice location

100 Wells St. Suite 2L
Bushnell on the Park
Hartford, CT 06103

Mailing address

100 Wells St. Suite 2L
Bushnell on the Park
Hartford, CT 06103
Phone (860) 550-0179

Other identifiers 1

IdentifierTypeStateIssuer
1780887224OtherCTINDIVIDUAL NIP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1376987834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WELLS ST. SUITE 2L",
            "address_2": "BUSHNELL ON THE PARK",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06103",
            "telephone_number": "860-550-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELLS ST. SUITE 2L",
            "address_2": "BUSHNELL ON THE PARK",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06103",
            "telephone_number": "860-550-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISOL ACEVEDO CRUZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO CRUZ",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "860-550-0179",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NIP",
            "identifier": "1780887224",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.