Individual provider Active NPI

Amy Lynn Lupoli, MFT

  • Marriage & Family Therapist
  • Wallingford, CT
National Provider Identifier
1588710339
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3 Watrous Farm Rd
Wallingford, CT 06492-2819
Phone
(203) 376-9721
NPI assigned
Jan 26, 2007
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 Primary

Addresses

Primary practice location

3 Watrous Farm Rd
Wallingford, CT 06492-2819

Mailing address

52 Mohawk Drive
Wallingford, CT 06492-4116
Phone (203) 376-9721

Other identifiers 1

IdentifierTypeStateIssuer
001483OtherCTSTATE OF CONNECTICUT LICENSE

Other names 1

  • Miss Amy Lynn Howland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1588710339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MOHAWK DRIVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924116",
            "telephone_number": "203-376-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WATROUS FARM RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922819",
            "telephone_number": "203-376-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPOLI",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT LICENSE",
            "identifier": "001483",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HOWLAND",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.