Individual provider Active NPI

Aida Iris Diaz-la Cilento, LPC

  • Professional Counselor
  • New Britain, CT
National Provider Identifier
1801142799
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2692 Issued in CT
Practice address
114 W Main St Ste 302
New Britain, CT 06051-4223
Phone
(860) 390-1383
Fax
(860) 271-8312
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 002692 CT
Professional Counselor 101YP2500X 2692 CT Primary

Addresses

Primary practice location

114 W Main St Ste 302
New Britain, CT 06051-4223

Mailing address

114 W Main St Ste 302
New Britain, CT 06051-4223
Phone (860) 803-3143

Other names 1

  • Aida Iris Diaz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304000727 CT Practitioner - Mental Health Counselor 8527403328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2692CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Resources, Inc. Single Specialty CurrentSince Jan 23, 2024 Accepting new patients

Locations

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

995 Day Hill Rd
Windsor, CT 06095
Phone (860) 697-3351

2 Waterside Xing
Ste 401
Windsor, CT 06095

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1801142799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST STE 302",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514223",
            "telephone_number": "860-803-3143",
            "fax_number": "860-271-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST STE 302",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514223",
            "telephone_number": "860-390-1383",
            "fax_number": "860-271-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-LA CILENTO",
        "first_name": "AIDA",
        "middle_name": "IRIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002692",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIDA",
            "last_name": "DIAZ",
            "middle_name": "IRIS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.