Mary M Lennon, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001397 Issued in CT

Practice address

126 East Putnam Ave
2ND FL W
Cos Cob, CT 06807

Phone

(203) 629-0910

Fax

(203) 778-4040

NPI assigned

Dec 12, 2006

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

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730249293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 EAST PUTNAM AVE",
            "address_2": "2ND FL W",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "06807",
            "telephone_number": "203-629-0910",
            "fax_number": "203-778-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 EAST PUTNAM AVE",
            "address_2": "2ND FL W",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "06807",
            "telephone_number": "203-629-0910",
            "fax_number": "203-778-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001397",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0011811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian R Koczenasz, DPT
• Olga Kolenberg, PT
• Raman Kumar
• Venetia Spanos Kyriakos, DMD
• Maria Carla La Putt, DPT
• Ronald M Levine, MD
• Tangley Canpbell Lloyd, LCSW
• Christine J Lynders, PT
• Michael John Mack, D.D.S.
• Rafael Gerardo Magana, M.D.

• All providers in Cos Cob, CT
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.