Individual provider Active NPI

Kiersten D'Auria, LMFT

  • Marriage & Family Therapist
  • Madison, CT
National Provider Identifier
1043645856
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001491 Issued in CT
Practice address
762 Boston Post Rd FL 2
Madison, CT 06443-3047
Phone
(203) 889-7777
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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 001491 CT Primary

Addresses

Primary practice location

762 Boston Post Rd FL 2
Madison, CT 06443-3047

Mailing address

20 Sycamore LN
Madison, CT 06443-2351
Phone (203) 889-7777

Other practice location 1

2651 Boston Post Rd
Guilford, CT 06437
Phone (203) 889-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 6, 2025 through Jun 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1491CTMDBehavioral Analyst

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24606/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1043645856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SYCAMORE LN",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432351",
            "telephone_number": "203-889-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 BOSTON POST RD FL 2",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433047",
            "telephone_number": "203-889-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "06437",
            "country_code": "US",
            "telephone_number": "203-889-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AURIA",
        "first_name": "KIERSTEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.