Individual provider Active NPI

Alisa Mujagic, LPC

  • Counselor
  • Greenwich, CT
National Provider Identifier
1477309557
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
46.007253 Issued in CT
Practice address
127 Weaver St
Greenwich, CT 06831-4300
Phone
(917) 292-1946
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 46.007253 CT Primary

Addresses

Primary practice location

127 Weaver St
Greenwich, CT 06831-4300

Mailing address

127 Weaver St
Greenwich, CT 06831-4300
Phone (917) 292-1946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606000930 CT Practitioner - Mental Health Counselor 8628588936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberation Programs IncGroup PAC ID 8729413604, 11 clinicians

Practice addresses (Care Compare)

125 Main St
Stamford, CT 06901-2818
Phone (203) 391-7929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46.007253CTMDCounselor
7253CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Liberation Programs Inc CurrentSince Mar 10, 2025 Accepting new patients
Liberation Programs Inc CurrentSince Mar 10, 2025 Accepting new patients

Locations

339 West Ave
Bridgeport, CT 06604

75 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 661-3333

125 Main St
Stamford, CT 06901
Phone (203) 391-7906

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1477309557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WEAVER ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068314300",
            "telephone_number": "917-292-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WEAVER ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068314300",
            "telephone_number": "917-292-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJAGIC",
        "first_name": "ALISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "46.007253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.