Active NPI
Julia (Jill) Marie Massari, LMFT
- Marriage & Family Therapist
- Trumbull, CT
National Provider Identifier
1114694627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2664
- Practice address
- 2 Corporate Dr Ste 207
Trumbull, CT 06611-1376 - Phone
- (203) 441-3236
- NPI assigned
- Aug 24, 2021
- Last updated
- Oct 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2664 | CT | Primary |
Addresses
Primary practice location
2 Corporate Dr Ste 207
Trumbull, CT 06611-1376
Mailing address
7 Norwood Ter
Trumbull, CT 06611-3804
Phone (203) 441-3236
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240913000682 | CT | Practitioner - Marriage and Family Therapist | 6800336199 | Practice locations: Trumbull, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729900800000",
"number": "1114694627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 NORWOOD TER",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113804",
"telephone_number": "203-441-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CORPORATE DR STE 207",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111376",
"telephone_number": "203-441-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSARI",
"first_name": "JULIA (JILL)",
"middle_name": "MARIE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "2664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.