Active NPI
Elizabeth Tiru
- Mental Health Counselor
- Waterbury, CT
National Provider Identifier
1952496549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001092
- Practice address
- 56 Church Street
Waterbury, CT 06702 - Phone
- (203) 755-1196
- Fax
- (203) 575-9675
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001092 | CT | Primary |
Addresses
Primary practice location
56 Church Street
Waterbury, CT 06702
Mailing address
35-I Pearl Lake Road
Waterbury, CT 06706
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952496549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35-I PEARL LAKE ROAD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 CHURCH STREET",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06702",
"telephone_number": "203-755-1196",
"fax_number": "203-575-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRU",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "001092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
- Steven C. Thornquist, M.D.
- Catherine Thurston
- Ti - Waterbury LLC (Bucks Hill Nursing and Rehabilitation Center)
- Anna M. Timell, M.D.
- Michael R Tinkler, M.D.
- Sandeep Tiyyagura, MD
- David Tkeshelashvili, M.D.
- Erica R Tofano, MFT,LMFT
- Together We Can Community Alliance Inc
- Together We Can Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.