Lucrezia Mangione, LCPC,LPC,NCC,BC-TMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003752 Issued in CT

Practice address

160 Christian St
Oxford, CT 06478-1221

Phone

(802) 578-3700

NPI assigned

Jun 21, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mind Body Well Therapy PLLC

  dba Lucrezia Mangione

  • Professional Counselor
  • Oxford, CT
  • NPI 1407415052
  NPD Authorized official

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437564192",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Christian St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "CT",
            "postal_code": "064781221",
            "country_code": "US",
            "telephone_number": "802-578-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGIONE",
        "first_name": "LUCREZIA",
        "name_prefix": "Ms.",
        "credential": "LCPC,LPC,NCC,BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6046",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008040",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifespan Collaborative Services LLC
• Stan Peter Lisewski, RPH
• Edward P Lyons Jr., COTA
• Kate Purdy Mac Bride, SLP
• Rabindranath Mahabir, M.D.
• Mariana Francesca Marchitto, MS, CF-SLP
• Adrianna E Marino, LMFT
• Nico Dylan-Grant Markette
• Mia Grayce Maselli, OTR/L
• Danielle Matos, OTR/L

• Professional Counselor in Oxford, CT
• Providers in Oxford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.