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LISA M ANNUNZIATO
NPI 1841004165
Counselor - Mental Health in Willimantic, CT

Active since February 05, 2025PECOS Enrolled
42 GEM DR, WILLIMANTIC, CT 06226(475) 529-5959 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2025, Feb 5, 2025 (2 updates tracked since 2025).

About Lisa M Annunziato NPPES

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

LISA M ANNUNZIATO (NPI 1841004165) is an individual mental health provider in Willimantic, Connecticut, licensed in Connecticut (9091) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841004165
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA M ANNUNZIATO
Location Address42 GEM DRWillimantic, CT 06226-1104
Mailing Address42 Gem DrWillimantic, CT 06226-1104 · (475) 529-5959
Phone(475) 529-5959
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 5, 2025
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1841004165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CT · 9091✔ Licensed in VT · 068.0136920TELE
42 GEM DR, Willimantic, CT 06226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Annunziato is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901392398
PECOS Enrollment IDI20260106002201
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Annunziato's NPI number?

The NPI number for Lisa Annunziato is 1841004165. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Lisa Annunziato located?

Lisa Annunziato practices at 42 Gem Dr, Willimantic, CT 06226. The listed phone number is (475) 529-5959.

What is Lisa Annunziato's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lisa Annunziato enrolled in Medicare?

Yes. Lisa Annunziato is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Annunziato was last updated on November 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.