Organization Active NPI

Mind Body Well Therapy PLLC

Doing business as Lucrezia Mangione

  • Professional Counselor
  • Oxford, CT
National Provider Identifier
1407415052
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MIND BODY WELL THERAPY PLLC
Doing business as
Lucrezia Mangione
Practice address
160 Christian St
Oxford, CT 06478-1221
Phone
(802) 578-3700
Fax
(203) 463-4211
NPI assigned
Jun 7, 2019
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Ms. Lucrezia Mangione, LPCNPI 1437564192
Title
Owner, Clinical Director, LPC, LCPC
Phone
(802) 578-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

160 Christian St
Oxford, CT 06478-1221

Mailing address

160 Christian St
Oxford, CT 06478-1221
Phone (802) 578-3700

Other names 1

  • Lucrezia Mangione Doing business as

National Provider Directory

National Provider Directory

Locations

160 Christian St
Oxford, CT 06478
Phone (802) 578-3700

160 Christian St
Ste 7
Oxford, CT 06478
Phone (802) 578-3700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1407415052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CHRISTIAN ST",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781221",
            "telephone_number": "802-578-3700",
            "fax_number": "203-463-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CHRISTIAN ST",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781221",
            "telephone_number": "802-578-3700",
            "fax_number": "203-463-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MANGIONE",
        "authorized_official_first_name": "LUCREZIA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR, LPC, LCPC",
        "authorized_official_telephone_number": "802-578-3700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucrezia Mangione",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lucrezia Mangione",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.