Individual provider Active NPI

Yolanda Victoria Lee, LMFT

  • Marriage & Family Therapist
  • Thomaston, CT
National Provider Identifier
1952072977
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2689 Issued in CT
Practice address
143 Pine Hill Rd Unit 21C
Thomaston, CT 06787-1953
Phone
(860) 459-4972
NPI assigned
Sep 21, 2021
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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 2689 CT Primary

Addresses

Primary practice location

143 Pine Hill Rd Unit 21C
Thomaston, CT 06787-1953

Mailing address

79 Elmwood Ter
Torrington, CT 06790-3237
Phone (860) 459-4972

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
I20260220003338 CT Practitioner - Marriage and Family Therapist 7719468461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

245 Waterman St
Suite 200
Providence, RI 02906-5215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2689CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 13, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 13, 2026 Accepting new patients
Mindscapes Counseling PLLC Past Accepting new patients

Locations

900 Straits Tpke
Ste 203A
Middlebury, CT 06762

169 Main St
Fl 3
Middletown, CT 06457
Phone (610) 618-6247

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1952072977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ELMWOOD TER",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903237",
            "telephone_number": "860-459-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 PINE HILL RD UNIT 21C",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871953",
            "telephone_number": "860-459-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOLANDA",
        "middle_name": "VICTORIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, CT

Sources for this page

Verify at the official NPI Registry.