Organization Active NPI

Thriving Journey Therapy, PLLC

  • Marriage & Family Therapist
  • East Berlin, CT
National Provider Identifier
1942840319
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
THRIVING JOURNEY THERAPY, PLLC
Practice address
1224 Mill St Ste B001
East Berlin, CT 06023-1166
Phone
(860) 578-2020
NPI assigned
Jan 13, 2020
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Lisa Lacen, LMFTNPI 1306193966
Title
Owner
Phone
(860) 578-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1224 Mill St Ste B001
East Berlin, CT 06023-1166

Mailing address

100 Beacon St
Newington, CT 06111-4702
Phone (860) 578-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240221003604 CT Part B Supplier - Clinic/Group Practice 3072957687 Receives reassigned benefits from 1 practitioner
Practice locations: East Berlin, CT

National Provider Directory

National Provider Directory

Locations

1224 Mill St
Ste B001
East Berlin, CT 06023
Phone (847) 245-7939

1224 Mill St
Ste B102
East Berlin, CT 06023

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1942840319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BEACON ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114702",
            "telephone_number": "860-578-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MILL ST STE B001",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231166",
            "telephone_number": "860-578-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING JOURNEY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "LACEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-578-2020",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.