Fairfield Family Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001375 Issued in CT

Legal business name

FAIRFIELD FAMILY THERAPY, LLC

Practice address

140 Sherman St FL 5
Fairfield, CT 06824-5849

Phone

(203) 883-0803

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Charles P. Lemieux III, LMFTNPI 1891035077

Title

Member

Phone

(475) 888-9232

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Paul Lemieux III, LMFT

  • Marriage & Family Therapist
  • Fairfield, CT
  • NPI 1891035077
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1780136655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST FL 5",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "475-888-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST FL 5",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "203-883-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "LEMIEUX",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "475-888-9232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008043523",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairfield County Lifestyle Consultants, LLC
• Fairfield Dental Associates PC
• Fairfield Dermatology, P.C.
• Fairfield Family Dental Group PC
• Fairfield Family Health
• Fairfield Interventional and Vascular Specialists PC
• Fairfield Medical Group, LLC
• Fairfield Neuropsychology LLC
• Fairfield Ophthalmology, LLC
• Fairfield Optical, Inc.

• Marriage & Family Therapist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.