Active NPI
Maggie Rebecca Lucian, LMFT
- Marriage & Family Therapist
- Bridgewater, CT
National Provider Identifier
1417253162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001623
- Practice address
- 92 Blueberry Hill Rd
Bridgewater, CT 06752-1340 - Phone
- (203) 241-8333
- NPI assigned
- Jan 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001623 | CT | Primary |
Addresses
Primary practice location
92 Blueberry Hill Rd
Bridgewater, CT 06752-1340
Mailing address
92 Blueberry Hill Rd
Bridgewater, CT 06752-1340
Phone (203) 241-8333
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060669107 | Other | CT | UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY |
| 008050935 | Other | CT | HP MEDICAID |
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| 1270722 | Other | CT | CAQH |
| 539525 | Other | CT | MHN TRICARE NORTH- WELLMORE |
| 060669107 | Other | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| 539525 | Other | CT | MHN MANAGED HEALTH NETWORK-WELLMORE |
| 1659821833 | Medicaid | CT | |
| 5706769 | Other | CT | AETNA BEHAVIORAL HEALTH |
| 4930108 | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | UBH OXFORD LIBERTY/FREEDOM HEALTH WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH-CONNECTICARE WELLMORE GRP/FACILITY |
| D339209 | Other | CT | VALUE OPTIONS/BEACON HEALTH STRATEGIES |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maggie Lucian, LMFT, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Wellmore, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Bridgewater, CT
- NPI 1659821833
Marriage & Family Therapist
-
dba Wellmore, Inc.-Therapeutic Shelter
- Substance Use Disorder Rehabilitation Clinic/Center
- Waterbury, CT
- NPI 1336407915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691193600000",
"number": "1417253162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 BLUEBERRY HILL RD",
"city": "BRIDGEWATER",
"state": "CT",
"postal_code": "067521340",
"telephone_number": "203-241-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 BLUEBERRY HILL RD",
"city": "BRIDGEWATER",
"state": "CT",
"postal_code": "067521340",
"telephone_number": "203-241-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIAN",
"first_name": "MAGGIE",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2023-08-05",
"certification_date": "2023-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HP MEDICAID",
"identifier": "008050935",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "1270722",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN TRICARE NORTH- WELLMORE",
"identifier": "539525",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGED HEALTH NETWORK-WELLMORE",
"identifier": "539525",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659821833",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "5706769",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "4930108",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH OXFORD LIBERTY/FREEDOM HEALTH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH-CONNECTICARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS/BEACON HEALTH STRATEGIES",
"identifier": "D339209",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.