Active NPI
Marisol Acevedo Cruz LLC
- Marriage & Family Therapist
- Hartford, CT
National Provider Identifier
1376987834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780887224 | Other | CT | INDIVIDUAL NIP |
National Provider Directory
National Provider DirectoryNPI 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.