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LISA TEDESCO LADC
NPI 1699093716
Counselor - Addiction (Substance Use Disorder) in Ellington, CT

Active since May 13, 2010
99 STAFFORD RD STE B-1, ELLINGTON, CT 06029(860) 575-6631 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Tedesco Ladc NPPES

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

LISA TEDESCO LADC (NPI 1699093716) is an individual addiction (substance use disorder) provider in Ellington, Connecticut, licensed in Connecticut (667) and active in the NPI registry since May 2010. She maintains a secondary practice location in Dayville.

NPPES Registry Identity

NPI1699093716
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA TEDESCOCredential: LADC
Location Address99 STAFFORD RD STE B-1Ellington, CT 06029-2834
Mailing Address208 Flynn Ave, Suite 3jBurlington, VT 05401-5429 · (802) 488-6900 · Fax (802) 488-6901
Phone(860) 575-6631
Sole ProprietorNo
Enumeration DateMay 13, 2010
Last NPPES UpdateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1699093716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in CT · 667✔ Licensed in VT · 000347
99 STAFFORD RD STE B-1, Ellington, CT 06029
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Secondary Practice Location 1

Location 111 Dog Hill RdDayville, CT 06241-2106 · Phone (860) 779-0321

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 6

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

KAITLIN MYSKA LMFT LLC
Marriage & Family Therapist
99 STAFFORD RD STE B-1
ELLINGTON, CT 06029
Capitol Planning Region (860) 375-4060
INWARD PATH THERAPEUTIC SERVICES LLC
Social Worker (Clinical)
99 STAFFORD RD STE B-1
ELLINGTON, CT 06029
Capitol Planning Region (860) 338-6137
MS. CHRISTINE BARTLEY LCSW
Social Worker (Clinical)
99 STAFFORD RD STE B-1
ELLINGTON, CT 06029
Capitol Planning Region (860) 338-9596
MRS. MEGAN D LEWIS
Marriage & Family Therapist
99 STAFFORD RD STE B-1
ELLINGTON, CT 06029
Capitol Planning Region (860) 819-5926
CRYSTAL M COLON LMFT
Marriage & Family Therapist
99 STAFFORD RD STE B-1
ELLINGTON, CT 06029
Capitol Planning Region (860) 874-7756
KAITLIN MARIE MYSKA LMFT
Marriage & Family Therapist
99 STAFFORD RD STE B-1
ELLINGTON, CT 06029
Capitol Planning Region (860) 375-4060

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 Lisa Tedesco's NPI number?

The NPI number for Lisa Tedesco is 1699093716. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is Lisa Tedesco located?

Lisa Tedesco practices at 99 Stafford Rd Ste B-1, Ellington, CT 06029. The listed phone number is (860) 575-6631.

What is Lisa Tedesco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Lisa Tedesco accept?

Health plans from Providence Health Plan list Lisa Tedesco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Tedesco was last updated on September 29, 2021. 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.