MARY ELLEN STAUDT, LLC
NPI 1245751155
Counselor - Professional in Westport, CT

Active since June 30, 2017
21 BRIDGE SQ, WESTPORT, CT 06880(203) 554-4091(203) 368-9167 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 30, 2017 (2 updates tracked since 2017).

About Mary Ellen Staudt, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN STAUDT, LLC (NPI 1245751155) is a healthcare organization registered as a professional in Westport, Connecticut and active in the NPI registry since June 2017. The organization lists Mary Ellen Staudt, Owner, as its authorized official.

NPPES Registry Identity

NPI1245751155
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMARY ELLEN STAUDT, LLC
Location Address21 BRIDGE SQWestport, CT 06880-5900
Mailing Address21 Bridge SqWestport, CT 06880-5900 · (203) 554-4091 · Fax (203) 368-9167
Fax(203) 368-9167
Organization SubpartNo
Authorized OfficialMary Ellen StaudtOwner · (203) 554-4091
Enumeration DateJune 30, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1245751155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 003152
21 BRIDGE SQ, Westport, CT 06880

Other Identifiers 1

OtherANTHEMCT · Anthem Not Yet Issued

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
21 BRIDGE SQ
WESTPORT, CT 06880
Social Worker (Clinical)
21 BRIDGE SQ, 2ND FLOOR CORNER SUITE
WESTPORT, CT 06880
Social Worker (Clinical)
21 BRIDGE SQ, 2ND FLOOR CORNER SUITE
WESTPORT, CT 06880
Social Worker (Clinical)
21 BRIDGE SQ, 2ND FLOOR
WESTPORT, CT 06880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellen Staudt, LLC's NPI number?

The NPI number for Mary Ellen Staudt, LLC is 1245751155. It was assigned to this organization in the NPPES registry on June 30, 2017.

Where is Mary Ellen Staudt, LLC located?

Mary Ellen Staudt, LLC is located at 21 Bridge Sq, Westport, CT 06880. The listed phone number is (203) 554-4091.

What is Mary Ellen Staudt, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Staudt, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.