Jessica Marks, LPC LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

JESSICA MARKS, LPC LLC

Practice address

280 Main St # C
New Hartford, CT 06057-2748

Phone

(860) 485-5536

NPI assigned

Sep 18, 2017

Last updated

Sep 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Marks, LPC

Title

Sole Proprietor

Phone

(860) 485-5536

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1033638457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 RIVERTON RD",
            "city": "RIVERTON",
            "state": "CT",
            "postal_code": "060651102",
            "telephone_number": "860-485-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAIN ST # C",
            "city": "NEW HARTFORD",
            "state": "CT",
            "postal_code": "060572748",
            "telephone_number": "860-485-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA MARKS, LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SOLE  PROPRIETOR",
        "authorized_official_telephone_number": "860-485-5536",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in New Hartford, CT
• Providers in New Hartford, CT by specialty
• Adolescent and Children Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.