Lisa M Annunziato

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9091 Issued in CT

Practice address

42 Gem Dr
Willimantic, CT 06226-1104

Phone

(475) 529-5959

NPI assigned

Feb 5, 2025

Last updated

Nov 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1841004165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GEM DR",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261104",
            "telephone_number": "475-529-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 GEM DR",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261104",
            "telephone_number": "475-529-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNUNZIATO",
        "first_name": "LISA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136920TELE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "9091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara M Alosky
• Kara Elizabeth Anastasiou, APRN-BC
• Ronald Douglas Anderson, PH.D.
• Anesthesia Associates of Willimantic PC
• Carol Jean Annino, DO
• Naida E. Arcenas, APRN
• Raelene Asselin
• Emmanuel Augustin
• Huseyin Nail Aydin, MD
• Jeniffer Louise Baer, DMD

• Mental Health Counselor in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.