Corliss J Racsko, LPC, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CORLISS J RACSKO, LPC, PC

Practice address

324 Elm St Ste 202B
Monroe, CT 06468-2284

Phone

(203) 268-8293

NPI assigned

Mar 13, 2025

Organization subpart

No

Name

Corliss RacskoNPI 1730297466

Title

President

Phone

(203) 268-8293

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corliss J. Racsko, MA, NCC, LPC

  • Professional Counselor
  • Monroe, CT
  • NPI 1730297466

  Professional

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2025.

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1861292575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064680045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ELM ST STE 202B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682284",
            "telephone_number": "203-268-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLISS J RACSKO, LPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "RACSKO",
        "authorized_official_first_name": "CORLISS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-268-8293"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Monroe, CT
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.