Organization Active NPI

Latin Enrichment Organization

  • Adolescent and Children Mental Health Clinic/Center
  • Hartford, CT
National Provider Identifier
1740920859
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LATIN ENRICHMENT ORGANIZATION
Practice address
54 Forest St
Hartford, CT 06105-3204
Phone
(860) 249-0975
Fax
(860) 249-0975
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Tiffani Martinez, LMFTA
Title
Outpatient Clinician
Phone
(860) 249-0975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

54 Forest St
Hartford, CT 06105-3204

Mailing address

54 Forest St
Hartford, CT 06105-3204
Phone (860) 249-0975

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TMARTINEZ@LEOCLINIC.CARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1740920859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FOREST ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053204",
            "telephone_number": "860-249-0975",
            "fax_number": "860-249-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FOREST ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053204",
            "telephone_number": "860-249-0975",
            "fax_number": "860-249-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN ENRICHMENT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_title_or_position": "OUTPATIENT CLINICIAN",
        "authorized_official_telephone_number": "860-249-0975",
        "authorized_official_credential": "LMFTA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TMARTINEZ@LEOCLINIC.CARE",
            "affiliation": "N",
            "address_1": "54 Forest St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061053204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.