Individual provider Active NPI

Karin Conroy-Fisher, L.M.F.T.

  • Marriage & Family Therapist
  • Essex, CT
National Provider Identifier
1003909870
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
933 Issued in CT
Practice address
80 Plains Road
Essex, CT 06426
Phone
(860) 598-4808
Fax
(860) 767-1771
NPI assigned
Oct 2, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 933 CT Primary

Addresses

Primary practice location

80 Plains Road
Essex, CT 06426

Mailing address

PO Box 303
Essex, CT 06426-0303
Phone (860) 767-1771

Other identifiers 3

IdentifierTypeStateIssuer
410000933CT01OtherCTANTHEM ID
11242235OtherCTCAQH ID
P3661974OtherCTOXFORD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 10, 2024 through Feb 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1003909870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064260303",
            "telephone_number": "860-767-1771",
            "fax_number": "860-767-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PLAINS ROAD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "06426",
            "telephone_number": "860-598-4808",
            "fax_number": "860-767-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY-FISHER",
        "first_name": "KARIN",
        "name_prefix": "Ms.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "410000933CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11242235",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P3661974",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, CT

Sources for this page

Verify at the official NPI Registry.