Individual provider Active NPI

Egypciel Victor-Lowderback, LMFT

  • Marriage & Family Therapist
  • Hartford, CT
National Provider Identifier
1912147901
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000950 Issued in CT
Practice address
638 Prospect Ave
Hartford, CT 06105-4203
Phone
(860) 965-1111
NPI assigned
Mar 3, 2009
Last updated
Mar 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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 000950 CT Primary

Addresses

Primary practice location

638 Prospect Ave
Hartford, CT 06105-4203

Mailing address

1068 Blue Hills Ave
Bloomfield, CT 06002-2704
Phone (860) 965-1111

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
I20260323003334 CT Practitioner - Mental Health Counselor 7911481403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4080 S County TRL
Charlestown, RI 02813-3940

638 Prospect Ave
Hartford, CT 06105-4203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000950CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Counseling & Wellness LLC Marriage & Family Therapist CurrentSince Jan 9, 2026 Accepting new patients
Schroeder Associates Psychological Services Marriage & Family Therapist Past Accepting new patients
Schroeder Associates Psychological Services, Inc. Past Accepting new patients

Locations

638 Prospect Ave
Hartford, CT 06105
Phone (860) 231-9759

Organizations & group practices 3

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": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1912147901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 BLUE HILLS AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022704",
            "telephone_number": "860-965-1111",
            "fax_number": "860-965-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054203",
            "telephone_number": "860-965-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR-LOWDERBACK",
        "first_name": "EGYPCIEL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.