Individual provider Active NPI

Stephanie Potenza, LMFT

  • Marriage & Family Therapist
  • Shelton, CT
National Provider Identifier
1821723933
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2906 Issued in CT
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

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Potenza Wellness Services LLC Marriage & Family Therapist CurrentSince Mar 20, 2025 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.

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

Verify at the official NPI Registry.