Active NPI
Jeanne B Ayotte, LMFT
- Marriage & Family Therapist
- Clinton, CT
National Provider Identifier
1013090380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000630
- Practice address
- 130 E Main St
Clinton, CT 06413-2114 - Phone
- (860) 575-1545
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000630 | CT | Primary |
Addresses
Primary practice location
130 E Main St
Clinton, CT 06413-2114
Mailing address
5 Hammock Pkwy
Clinton, CT 06413-2304
Other practice location 1
156 Cow Hill Rd
Killingworth, CT 06419-2429
Phone (860) 663-0401 ext. 14
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000630 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1013090380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HAMMOCK PKWY",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E MAIN ST",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132114",
"telephone_number": "860-575-1545"
}
],
"practiceLocations": [
{
"address_1": "156 Cow Hill Rd",
"address_purpose": "LOCATION",
"city": "Killingworth",
"state": "CT",
"postal_code": "064192429",
"country_code": "US",
"telephone_number": "860-663-0401 x14",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYOTTE",
"first_name": "JEANNE",
"middle_name": "B",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "000630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.