Keyndra Lewis LMFT LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KEYNDRA LEWIS LMFT LLC

Doing business as

Keyndra Lewis LMFT LLC

Practice address

49 Broad St
Plainville, CT 06062-4201

Phone

(475) 329-0645

NPI assigned

Jan 27, 2021

Last updated

Dec 6, 2023By 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

Keyndra Lewis, LMFTNPI 1881294056

Title

Owner

Phone

(203) 449-1123

Specialties & licenses 1

Addresses

Other names 1

• Keyndra Lewis LMFT LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keyndra Lewis, LMFT

  • Marriage & Family Therapist
  • Waterbury, CT
  • NPI 1881294056
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1083205595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "MARION",
            "state": "CT",
            "postal_code": "064440157",
            "telephone_number": "475-329-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BROAD ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060624201",
            "telephone_number": "475-329-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Migeon Ave",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067904821",
            "country_code": "US",
            "telephone_number": "120-344-9112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYNDRA LEWIS LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KEYNDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-449-1123",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keyndra Lewis LMFT LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keyndra Lewis LMFT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Plainville, CT
• Providers in Plainville, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.