Active NPI
Lori A Stanczyc, MED, LPC, CPS, ES
- Mental Health Counselor
- Avon, CT
National Provider Identifier
1750970489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00600 | CT | MD | Mental 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.