Active NPI
Lejla Abidovic, LMFTA
- Marriage & Family Therapist
- Waterbury, CT
National Provider Identifier
1902497191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3310
- Practice address
- 855 Lakewood Rd
Waterbury, CT 06704-5408 - Phone
- (888) 793-3500
- NPI assigned
- Jan 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | 3310 | CT | Primary |
Addresses
Primary practice location
855 Lakewood Rd
Waterbury, CT 06704-5408
Mailing address
159 Worcester Rd Ste 103
Charlton, MA 01507-1677
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260420001425 | CT | Practitioner - Marriage and Family Therapist | 3173099983 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wheeler Clinic Inc
Practice addresses (Care Compare)
855 Lakewood Rd
Waterbury, CT 06704-5408
Phone (860) 793-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3310 | CT | MD | Professional Counselor |
Interoperability endpoints
- lejla.abidovic.p1@direct.wheelerclinic.nextgenshare.com
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plainville, CT
- NPI 1396750840
CT
-
- Federally Qualified Health Center (FQHC)
- Waterbury, CT
- NPI 1265098180
-
- Federally Qualified Health Center (FQHC)
- Bristol, CT
- NPI 1790532802
-
- Federally Qualified Health Center (FQHC)
- Plainville, CT
- NPI 1871108076
-
- Federally Qualified Health Center (FQHC)
- Bristol, CT
- NPI 1164987301
-
- Federally Qualified Health Center (FQHC)
- New Britain, CT
- NPI 1285203612
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1518467174
-
- Federally Qualified Health Center (FQHC)
- Bristol, CT
- NPI 1548760119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1902497191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 WORCESTER RD STE 103",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015071677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 LAKEWOOD RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067045408",
"telephone_number": "888-793-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABIDOVIC",
"first_name": "LEJLA",
"credential": "LMFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "3310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.