Chad Edward Quensen, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001660 Issued in CT

Practice address

19 Mansfield Hollow Rd
Mansfield Center, CT 06250-1322

Phone

(860) 458-6454

Fax

(833) 341-5696

NPI assigned

Apr 10, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healthy Connections Therapy

  • Marriage & Family Therapist
  • Mansfield Center, CT
  • NPI 1538761994
  NPD Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1114140241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MANSFIELD HOLLOW RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501322",
            "telephone_number": "860-458-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MANSFIELD HOLLOW RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501322",
            "telephone_number": "860-458-6454",
            "fax_number": "833-341-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENSEN",
        "first_name": "CHAD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Cynthia Pottinger, APRN
• Suzanne M Powell, MD
• Candace F Powers, LCSW
• Allison Price, LMFT
• Professional Resource Group PC
• Champakamala Honganur Rajanna, M.D.,
• Ralph J. Laguardia, M.D, P.C.
• Jonathan Matthew Raub, M.D., M.P.H., M.A.
• Jasmain Reese
• Amanda Avery Risley, LPC

• Marriage & Family Therapist in Mansfield Center, CT
• Providers in Mansfield Center, 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 Oct 28, 2020; 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.