Individual provider Active NPI

Charles Paul Lemieux III, LMFT

  • Marriage & Family Therapist
  • Fairfield, CT
National Provider Identifier
1891035077
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001375 Issued in CT
Practice address
140 Sherman St
5TH Floor
Fairfield, CT 06824-5849
Phone
(475) 888-9232
NPI assigned
Feb 25, 2013
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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 001375 CT Primary

Addresses

Primary practice location

140 Sherman St
5TH Floor
Fairfield, CT 06824-5849

Mailing address

1331 Merritt St
Fairfield, CT 06825-1535
Phone (475) 888-9232

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240828004863 CT Practitioner - Marriage and Family Therapist 7416496849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Sherman St
FL 5
Fairfield, CT 06824-5849
Phone (904) 534-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001375CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Family Therapy, LLC Marriage & Family Therapist CurrentSince Jun 16, 2024 Accepting new patients

Locations

140 Sherman St
Fl 5
Fairfield, CT 06824
Phone (203) 482-4463

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1891035077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MERRITT ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251535",
            "telephone_number": "475-888-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST",
            "address_2": "5TH FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "475-888-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "CHARLES",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.