MS. ELLIE LUPERON LADC NPI 1043563042

NPI Information

NPI: 1043563042
Provider Name: MS. ELLIE LUPERON, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
191 E QUASSET RD
WOODSTOCK, CT
ZIP 06281
Phone: (617) 785-8127
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MS. Ellie Luperon, LADC is a mental health counselor in Woodstock, CT. MS. Ellie Luperon, LADC NPI is 1043563042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

191 E QUASSET RD
WOODSTOCK, CT
ZIP 06281-307
Phone: (617) 785-8127

The enumeration date for this NPI number is 10/16/2012 and was last updated on 1/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MASSACHUSETTS	No
2	101YM0800X	Counselor	Mental Health	MASSACHUSETTS	Yes
3	103TC1900X	Psychologist	Counseling		No
4	103TE1100X	Psychologist	Exercise & Sports		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043563042	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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