LIBERATION PROGRAMS INC NPI 1316067481

NPI Information

  • NPI: 1316067481
  • Provider Name: LIBERATION PROGRAMS INC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Former Legal Business Name: LIBERATION MERIDIAN GUENSTER
  • Address: 399 MILL HILL AVE
    BRIDGEPORT, CT
    ZIP 06610
  • Phone: (888) 822-2270

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NPI Details

LIBERATION PROGRAMS INC is an adult mental health clinic center in Bridgeport, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LIBERATION PROGRAMS INC NPI is 1316067481. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Liberation Meridian Guenster.

The provider's business location address is:

399 MILL HILL AVE
BRIDGEPORT, CT
ZIP 06610-865
Phone: (888) 822-2270
Fax: (203) 336-4395

The provider's authorized official is Alan Mathis .
The authorized official title is Chief Executive Officer and has the following contact phone number (203) 851-2077.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
  • Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)

The enumeration date for this NPI number is 3/30/2007 and was last updated on 6/27/2008.

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 Number License State Primary
1261QM2800XClinic/CenterMethadone0290CONNECTICUTNo
2261QM0850XClinic/CenterAdult Mental Health0290CONNECTICUTYes

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
1004191962MEDICAIDCONNECTICUT
2004238764MEDICAIDCONNECTICUT
3004251500MEDICAIDCONNECTICUT

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: 11/21/2025

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