Eileen G. Andricovich, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

#001720 Issued in CT

Practice address

2 Old New Milford Road
Suite 1-B
Brookfield, CT 06804

Phone

(203) 775-2583

Fax

(203) 775-2863

NPI assigned

Sep 29, 2008

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Women's Counseling Center, Inc.

  dba Counseling Associates of Greater Danbury

  • Professional Counselor
  • Brookfield, CT
  • NPI 1730202961
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1568612372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD NEW MILFORD ROAD",
            "address_2": "SUITE 1-B",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "06804",
            "telephone_number": "203-775-2583",
            "fax_number": "206-775-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLD NEW MILFORD ROAD",
            "address_2": "SUITE 1-B",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "06804",
            "telephone_number": "203-775-2583",
            "fax_number": "203-775-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRICOVICH",
        "first_name": "EILEEN",
        "middle_name": "G.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT-771",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "#001720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Acupuncture, LLC
• Edlira Alushi X, O.D.
• Angela Amalfitano
• Amara Primary Care LLC
• Kimberly Anderson
• Fernanda Antin, DC
• Robin Paul Appleby, MD
• Adam Archer
• Ascent Counseling LLC
• Associates in Family Practice

• Marriage & Family Therapist in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.