Individual provider Active NPI

Anna Bertoldo, LMFT

  • Marriage & Family Therapist
  • Newington, CT
National Provider Identifier
1063384592
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
003602 Issued in CT
Practice address
1268 Main St Ste 204
Newington, CT 06111-3043
Phone
(860) 348-5574
NPI assigned
Sep 23, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 003602 CT Primary

Addresses

Primary practice location

1268 Main St Ste 204
Newington, CT 06111-3043

Mailing address

20 Julie Rd Apt C15
Plainville, CT 06062-1175

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
I20260309003278 CT Practitioner - Marriage and Family Therapist 9335622315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bristol Hospital IncorporatedGroup PAC ID 9739084096, 15 clinicians

Practice addresses (Care Compare)

420 N Main St
Bristol, CT 06010-4923
Phone (860) 583-5858

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Incorporated Single Specialty CurrentSince Feb 1, 2026 Accepting new patients

Locations

420 N Main St
Bristol, CT 06010
Phone (860) 314-4400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1063384592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JULIE RD APT C15",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 MAIN ST STE 204",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113043",
            "telephone_number": "860-348-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLDO",
        "first_name": "ANNA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "003602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.