Emmaus,LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CT000779 Issued in CT

Legal business name

EMMAUS,LLC

Practice address

131 Saddlebrook Path
Southington, CT 06489-4423

Phone

(860) 621-6023

NPI assigned

Jul 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna Marie Lopiccolo, MS, LMFT

Title

President

Phone

(860) 384-2552

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1912932344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SADDLEBROOK PATH",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064894423",
            "telephone_number": "860-621-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SADDLEBROOK PATH",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064894423",
            "telephone_number": "860-621-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "LOPICCOLO",
        "authorized_official_first_name": "ANNA MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-384-2552",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "CT000779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004244125",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PROVIDER NUMBER",
            "identifier": "62-59512",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "410000779CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey Erdman
• Joanne Etter, LLC

• Marriage & Family Therapist in Southington, CT
• Providers in Southington, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.