Active NPI
Elisa Fabiszak, LPC
- Professional Counselor
- East Hartford, CT
National Provider Identifier
1821389362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001998
- Practice address
- 96 Connecticut Blvd
East Hartford, CT 06108-3013 - Phone
- (860) 502-4908
- Fax
- (860) 513-4828
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001998 | CT | Primary |
Addresses
Primary practice location
96 Connecticut Blvd
East Hartford, CT 06108-3013
Mailing address
489 Pleasant Valley Rd
Rocky Hill, CT 06067-3820
Phone (860) 944-4412
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001998 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1821389362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 PLEASANT VALLEY RD",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060673820",
"telephone_number": "860-944-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CONNECTICUT BLVD",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083013",
"telephone_number": "860-502-4908",
"fax_number": "860-513-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABISZAK",
"first_name": "ELISA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.