TEGWYN LACZ
NPI 1942687694
Marriage & Family Therapist in Norwich, CT

Active since May 01, 2015PECOS Enrolled

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2021, May 22, 2019, Apr 10, 2019 (3 updates tracked since 2019).

About Tegwyn Lacz NPPES

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

TEGWYN LACZ (NPI 1942687694) is an individual marriage & family therapist in Norwich, Connecticut, licensed in Connecticut (2080) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942687694
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTEGWYN LACZ
Location Address47 TOWN STNorwich, CT 06360-2323
Mailing Address823 Main StHope Valley, RI 02832-1920 · (401) 539-2461
Sole ProprietorNo
Enumeration DateMay 1, 2015
Last NPPES UpdateSeptember 22, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1942687694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CT · 2080
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
47 TOWN ST, Norwich, CT 06360

Secondary Practice Locations 2

Location 1225 N Main StBristol, CT 06010-4926 · Phone (860) 508-8921
Location 2823 Main StHope Valley, RI 02832-1920 · Phone (401) 539-2461

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tegwyn Lacz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tegwyn Lacz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
823 MAIN STREET
Hope Valley, RI 02832
  • Reassigned Medicare billing, Rhode Island enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Nurse Practitioner (Psychiatric/Mental Health)
47 TOWN ST
NORWICH, CT 06360
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Social Worker
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360

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 Tegwyn Lacz's NPI number?

The NPI number for Tegwyn Lacz is 1942687694. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Tegwyn Lacz located?

Tegwyn Lacz practices at 47 Town St, Norwich, CT 06360. The listed phone number is (860) 892-7042.

What is Tegwyn Lacz's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tegwyn Lacz enrolled in Medicare?

Yes. Tegwyn Lacz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tegwyn Lacz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tegwyn Lacz reassigns Medicare benefits to Wood River Health Services, Inc. (Hope Valley, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tegwyn Lacz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tegwyn Lacz accept?

Health plans from Anthem Blue Cross and Blue Shield list Tegwyn Lacz 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 Tegwyn Lacz was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.