Michael Todd Jarvis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003463 Issued in CT

Practice address

5 Concord Way
New Milford, CT 06776-5746

Phone

(203) 942-8483

NPI assigned

Nov 3, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Todd Wisdom Jarvis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1104533579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CONCORD WAY",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067765746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CONCORD WAY",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067765746",
            "telephone_number": "203-942-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "JARVIS",
            "middle_name": "WISDOM",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Iraj Rahmati MD PC
• Jean Darlene Irish, PH.D.
• Carly Rae Jacques, LCSW
• Jill Janeczk Rubbo
• Natalie Jaramillo, M.S. CCC/SLP
• Jeffrey R Sanderson MD
• Hannah Jellen, MS, CNS
• Jennifer Kosanke-Kamp LMFT, LLC.
• Rihamary Jimenez, D.P.M.
• John R. Sussman, M.D.

• Professional Counselor in New Milford, CT
• Providers in New Milford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.