Individual provider Active NPI

Abigail Davis Wolff-France, LMFT

  • Marriage & Family Therapist
  • Derby, CT
National Provider Identifier
1154831394
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2401 Issued in CT
Practice address
100 Elizabeth St
Derby, CT 06418-1819
Phone
(203) 446-2252
Fax
(203) 446-2262
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2401 CT Primary

Addresses

Primary practice location

100 Elizabeth St
Derby, CT 06418-1819

Mailing address

100 Elizabeth St
Derby, CT 06418-1819
Phone (203) 446-2252

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405003109 CT Practitioner - Marriage and Family Therapist 5193163343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Southern Connecticut Christian Counseling CenterGroup PAC ID 9133266109, 9 clinicians

Practice addresses (Care Compare)

8 Wakeman Rd
Fairfield, CT 06824-5120
Phone (203) 255-5078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Connecticut Christian Counseling Center Marriage & Family Therapist CurrentSince Feb 26, 2024 Accepting new patients

Locations

8 Wakeman Rd
Fairfield, CT 06824
Phone (203) 255-5078

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1154831394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELIZABETH ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181819",
            "telephone_number": "203-446-2252",
            "fax_number": "203-446-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELIZABETH ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181819",
            "telephone_number": "203-446-2252",
            "fax_number": "203-446-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF-FRANCE",
        "first_name": "ABIGAIL",
        "middle_name": "DAVIS",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.