NPIMap

Organization Active NPI

Therapy Space CT

  • Counselor
  • Ridgefield, CT
National Provider Identifier
1518729326
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THERAPY SPACE CT
Practice address
100 Danbury Rd Ste 203B
Ridgefield, CT 06877-4122
Phone
(203) 240-7093
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Bonnie LuftNPI 1114671591
Title
Ceo/Owner
Phone
(032) 407-0932

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

100 Danbury Rd Ste 203B
Ridgefield, CT 06877-4122

Mailing address

100B Danbury Road
Ste 203B
Ridgefield, CT 06877

Other practice location 1

98 Mill Plain Rd Ste 3C
Danbury, CT 06811-6101
Phone (203) 240-7093

Other names 1

  • Integrated Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104000105 CT Part B Supplier - Clinic/Group Practice 4587197272 Receives reassigned benefits from 2 practitioners
Practice locations: Danbury, CT

National Provider Directory

National Provider Directory

Locations

98 Mill Plain Rd
Ste 3C
Danbury, CT 06811
Phone (203) 240-7093

100 Danbury Rd
Ste 203B
Ridgefield, CT 06877
Phone (203) 240-7093

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1518729326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B DANBURY ROAD",
            "address_2": "STE 203B",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "06877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DANBURY RD STE 203B",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774122",
            "telephone_number": "203-240-7093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Mill Plain Rd Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068116101",
            "country_code": "US",
            "telephone_number": "203-240-7093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY SPACE CT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "LUFT",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "032-407-0932"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.