Organization Active NPI

Art of Therapy, LLC.

  • Marriage & Family Therapist
  • South Windsor, CT
National Provider Identifier
1134513062
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001227 Issued in CT
Legal business name
ART OF THERAPY, LLC.
Practice address
925 Sullivan Ave
Unit 2
South Windsor, CT 06074-2025
Phone
(860) 432-7771
NPI assigned
Mar 28, 2015
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Stacey Hansen, LMFTNPI 1336385871
Title
Owner
Phone
(860) 214-4695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001227 CT Primary

Addresses

Primary practice location

925 Sullivan Ave
Unit 2
South Windsor, CT 06074-2025

Mailing address

925 Sullivan Ave
Unit 2
South Windsor, CT 06074-2025
Phone (860) 432-7771

Other identifiers 1

IdentifierTypeStateIssuer
008058934MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513002209 CT Part B Supplier - Clinic/Group Practice 4486095197 Receives reassigned benefits from 1 practitioner
Practice locations: South Windsor, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1134513062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SULLIVAN AVE",
            "address_2": "UNIT 2",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742025",
            "telephone_number": "860-432-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SULLIVAN AVE",
            "address_2": "UNIT 2",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742025",
            "telephone_number": "860-432-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-28",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-214-4695",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008058934",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.