Active NPIIndividual providerSole proprietor

Mrs. Jaqueline L Sussman, LPC

Counselor, Mental Health in Weston, Connecticut

NPI Number1457671653
Practice location
11 Sasqua Trl, Weston, CT 06883-1025
Fax
203-544-7168
Last updated
June 10, 2010

Jaqueline Lapa Sussman is a Counselor, Mental Health based in Weston, CT. Jaqueline Lapa Sussman practices in Weston, CT and has the professional credentials of LPC. The NPI Number for Jaqueline Lapa Sussman is 1457671653 and holds a License No. 000922 (CT). The current practice location address for Jaqueline Lapa Sussman is 11 Sasqua Trl, Weston, CT 06883-1025 and can be reached out via phone at 203-544-8409 and via fax at 203-544-7168.

Provider Profile Details

NPI Number
1457671653
Provider Name
Jaqueline Lapa Sussman
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
11 Sasqua Trl, Weston, CT 06883-1025
Phone Number
203-544-8409
Fax Number
203-544-7168
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 10, 2010
Last Update Date
June 10, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Sasqua Trl
Weston, CT 06883-1025
City
Weston
Zip
06883-1025
Phone Number
203-544-8409
Fax Number
203-544-7168
Weston, CT 06883Get directions →

Provider Business Mailing Address Details

Address
11 Sasqua Trl
Weston, CT 06883-1025
City
Weston
State
CT
Zip
06883-1025
Phone Number
203-544-8409
Fax Number
203-544-7168

License Information

License Number
000922
License State
CT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jaqueline L Sussman, LPC?

The NPI number of Mrs. Jaqueline L Sussman, LPC is 1457671653. It was assigned on June 10, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jaqueline L Sussman, LPC?

Mrs. Jaqueline L Sussman, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 000922.

Where does Mrs. Jaqueline L Sussman, LPC practice?

The practice location is 11 Sasqua Trl, Weston, CT 06883-1025. The office can be reached at 203-544-8409 (phone) or 203-544-7168 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457671653 directly on the NPPES registry website.

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