Active NPI
Ann Olin Epifanio, LMFT
- Marriage & Family Therapist
- Darien, CT
National Provider Identifier
1104477033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 002111
- Practice address
- 30 Old Kings Hwy S
Darien, CT 06820-4526 - Phone
- (203) 461-5095
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717002049 | VA | |
| Marriage & Family Therapist | 106H00000X | 002111 | CT | Primary |
| Marriage & Family Therapist | 106H00000X | 002230-01 | NY | |
| Marriage & Family Therapist | 106H00000X | 0002467 | CO | |
| Marriage & Family Therapist | 106H00000X | 141182 | CA |
Addresses
Primary practice location
30 Old Kings Hwy S
Darien, CT 06820-4526
Mailing address
14 Shennamere Rd
Darien, CT 06820-6225
Phone (203) 461-5095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002230-01 | NY | MD | Behavioral Analyst |
| 141182 | CA | MD | Marriage & Family Therapist |
| 0002467 | CO | MD | Marriage & Family Therapist |
| 0717002049 | VA | MD | Marriage & Family Therapist |
| 002111 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olin Counseling Services LLC | Marriage & Family Therapist | Current | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Darien, CT
- NPI 1578145348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1104477033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SHENNAMERE RD",
"city": "DARIEN",
"state": "CT",
"postal_code": "068206225",
"telephone_number": "203-461-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 OLD KINGS HWY S",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204526",
"telephone_number": "203-461-5095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPIFANIO",
"first_name": "ANN",
"middle_name": "OLIN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717002049",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "002111",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "002230-01",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "0002467",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141182",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.