Individual provider Active NPI

Joshua Ian Cohen

  • Marriage & Family Therapist
  • West Hartford, CT
National Provider Identifier
1053690842
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1606 Issued in CT
Practice address
61 S Main St Ste 310
West Hartford, CT 06107-2403
Phone
(860) 995-6838
NPI assigned
Aug 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 1606 CT Primary

Addresses

Primary practice location

61 S Main St Ste 310
West Hartford, CT 06107-2403

Mailing address

16 Devonshire Dr
South Windsor, CT 06074-2263
Phone (860) 995-6838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031002190 CT Practitioner - Marriage and Family Therapist 7911394713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Acorn Center for Wellness LLCGroup PAC ID 2264972090, 3 clinicians

Practice addresses (Care Compare)

270 Farmington Ave
Suite 346
Farmington, CT 06032-1909
Phone (860) 404-6063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1606CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Center for Wellness LLC Marriage & Family Therapist CurrentSince Oct 22, 2024 Accepting new patients

Locations

270 Farmington Ave
Ste 346
Farmington, CT 06032
Phone (860) 404-6063

61 S Main St
Ste 310
West Hartford, CT 06107
Phone (860) 325-3119

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1053690842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DEVONSHIRE DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742263",
            "telephone_number": "860-995-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 310",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072403",
            "telephone_number": "860-995-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JOSHUA",
        "middle_name": "IAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.