Active NPI
Alexandra Labarca
- Art Therapist
- Waterbury, CT
National Provider Identifier
1912713645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 26
- Practice address
- 678 Chase Pkwy
Waterbury, CT 06708-3050 - Phone
- (203) 527-4773
- NPI assigned
- Dec 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 26 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
678 Chase Pkwy
Waterbury, CT 06708-3050
Mailing address
201 Dublin Hill Rd
Southbury, CT 06488-1896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2024.
{
"created_epoch": "1733529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733529600000",
"number": "1912713645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DUBLIN HILL RD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064881896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083050",
"telephone_number": "203-527-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABARCA",
"first_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-07",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": "CT",
"license": "26",
"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 Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.