Individual provider Active NPI

Lois N Glazer, LMFT

  • Marriage & Family Therapist
  • Old Saybrook, CT
National Provider Identifier
1992887889
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CTMFT000143 Issued in CT
Practice address
49 Sherwood Ter
239 Willard Ave Westbrook CT
Old Saybrook, CT 06475-2123
Phone
(860) 443-4163
Fax
(860) 399-3466
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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 CTMFT000143 CT Primary

Addresses

Primary practice location

49 Sherwood Ter
239 Willard Ave Westbrook CT
Old Saybrook, CT 06475-2123

Mailing address

PO Box 810
Westbrook, CT 06498
Phone (860) 399-3466

Other names 1

  • Lois Luchnick Former name

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

State licenses

LicenseStateTypeSpecialty
CTMFT000143CTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1992887889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "06498",
            "telephone_number": "860-399-3466",
            "fax_number": "860-399-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SHERWOOD TER",
            "address_2": "239 WILLARD AVE WESTBROOK CT",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752123",
            "telephone_number": "860-443-4163",
            "fax_number": "860-399-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "LOIS",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "CTMFT000143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "LUCHNICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.