Active NPI
Susan Lewis Lally, L.P.C.
- Professional Counselor
- Ridgefield, CT
National Provider Identifier
1396135067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000336
- Practice address
- 142 North St
Ridgefield, CT 06877-2528 - Phone
- (203) 438-1951
- NPI assigned
- Feb 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 000336 | CT | Primary |
Addresses
Primary practice location
142 North St
Ridgefield, CT 06877-2528
Mailing address
142 North St
Ridgefield, CT 06877-2528
Phone (203) 438-1951
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000336 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1396135067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 NORTH ST",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068772528",
"telephone_number": "203-438-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 NORTH ST",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068772528",
"telephone_number": "203-438-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLY",
"first_name": "SUSAN",
"middle_name": "LEWIS",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.