Active NPI
Susannah Jane Forte Stahr, MS, MFT
- Marriage & Family Therapist
- Groton, CT
National Provider Identifier
1174889109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 591 Poquonnock Rd
Groton, CT 06340-4571 - Phone
- (860) 449-8217
- Fax
- (860) 449-8323
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
591 Poquonnock Rd
Groton, CT 06340-4571
Mailing address
255 Hempstead St
New London, CT 06320-6204
Phone (860) 443-2896
Other names 1
- Susannah Jane Forte
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stahr Family Therapy LLC | Mental Health | Current | Accepting new patients |
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": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1174889109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 HEMPSTEAD ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063206204",
"telephone_number": "860-443-2896",
"fax_number": "860-442-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 POQUONNOCK RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063404571",
"telephone_number": "860-449-8217",
"fax_number": "860-449-8323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHR",
"first_name": "SUSANNAH",
"middle_name": "JANE FORTE",
"name_prefix": "Ms.",
"credential": "MS, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSANNAH",
"last_name": "FORTE",
"middle_name": "JANE",
"credential": "BA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.