Individual provider Active NPI

Lori A Stanczyc, MED, LPC, CPS, ES

  • Mental Health Counselor
  • Avon, CT
National Provider Identifier
1750970489
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00600 Issued in CT
Practice address
395 W Avon Rd Ste 4
Avon, CT 06001-2200
Phone
(860) 614-2647
NPI assigned
Jan 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00600 CT Primary

Addresses

Primary practice location

395 W Avon Rd Ste 4
Avon, CT 06001-2200

Mailing address

395 W Avon Rd Ste 4
Avon, CT 06001-2200
Phone (860) 614-4092

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
00600CTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1750970489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W AVON RD STE 4",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012200",
            "telephone_number": "860-614-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W AVON RD STE 4",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012200",
            "telephone_number": "860-614-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCZYC",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "MED, LPC, CPS, ES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "00600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.