Individual provider Active NPI

Carolina Bunta, LMFT

  • Marriage & Family Therapist
  • New Haven, CT
National Provider Identifier
1548769235
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2120 Issued in CT
Practice address
400 Columbus Ave
Apc
New Haven, CT 06519-1233
Phone
(203) 503-3075
Fax
(203) 503-3296
NPI assigned
Feb 7, 2018
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2120 CT Primary

Addresses

Primary practice location

400 Columbus Ave
Apc
New Haven, CT 06519-1233

Mailing address

2911 Dixwell Ave Ste B-11
Hamden, CT 06518-3152
Phone (203) 892-4215

Other practice location 1

2911 Dixwell Ave Ste B-11
Hamden, CT 06518-3152
Phone (203) 533-2276

Other identifiers 1

IdentifierTypeStateIssuer
004235918MedicaidCT

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
I20240723001876 CT Practitioner - Marriage and Family Therapist 8325584600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nube Faith and Wellness PLLC Marriage & Family Therapist CurrentSince Feb 9, 2025 Accepting new patients
Creative Harmony Clinical Services, LLC Marriage & Family Therapist CurrentSince Dec 15, 2019 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Jul 15, 2024 Accepting new patients

Locations

2911 Dixwell Ave
Ste B-11
Hamden, CT 06518
Phone (203) 533-2276

400 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3174

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1548769235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE STE B-11",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183152",
            "telephone_number": "203-892-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COLUMBUS AVE",
            "address_2": "APC",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191233",
            "telephone_number": "203-503-3075",
            "fax_number": "203-503-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Dixwell Ave Ste B-11",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183152",
            "country_code": "US",
            "telephone_number": "203-533-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNTA",
        "first_name": "CAROLINA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.