Active NPI
Jennifer Mayette, LMFT
- Marriage & Family Therapist
- Bethel, CT
National Provider Identifier
1205231917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1657
- Practice address
- 14 Depot PL
Bethel, CT 06801-2540 - Phone
- (203) 417-0841
- NPI assigned
- Oct 24, 2014
- Last updated
- Oct 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1657 | CT | Primary |
Addresses
Primary practice location
14 Depot PL
Bethel, CT 06801-2540
Mailing address
90 Mimosa Cir
Ridgefield, CT 06877-2506
Phone (203) 417-0841
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1657 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Mayette, LLC | Marriage & Family Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Bethel, CT
- NPI 1487121273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1205231917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MIMOSA CIR",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068772506",
"telephone_number": "203-417-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 DEPOT PL",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012540",
"telephone_number": "203-417-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYETTE",
"first_name": "JENNIFER",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "1657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.