Active NPI
Stephanie Potenza, LMFT
- Marriage & Family Therapist
- Shelton, CT
National Provider Identifier
1821723933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2906
- Practice address
- 66 Huntington St
Shelton, CT 06484-5250 - Phone
- (203) 307-0190
- NPI assigned
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2906 | CT | Primary |
Addresses
Primary practice location
66 Huntington St
Shelton, CT 06484-5250
Mailing address
66 Huntington St
Shelton, CT 06484-5250
Phone (203) 307-0190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 29, 2024 through Aug 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potenza Wellness Services LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
66 Huntington St
Shelton, CT 06484
Phone (203) 307-0190
4 Research Dr
Ste 402
Shelton, CT 06484
Phone (203) 293-9300
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.
-
- Marriage & Family Therapist
- Shelton, CT
- NPI 1063101863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1821723933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HUNTINGTON ST",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845250",
"telephone_number": "203-307-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HUNTINGTON ST",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845250",
"telephone_number": "203-307-0190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTENZA",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "2906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.