Active NPI
Tara Michelle Conway, LMFTA
- Marriage & Family Therapist
- Sandy Hook, CT
National Provider Identifier
1205747003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3939
- Practice address
- 107 Church Hill Rd Ste 1a
Sandy Hook, CT 06482-1194 - Phone
- (475) 323-2200
- Fax
- (475) 323-2200
- NPI assigned
- Sep 14, 2026
- Last updated
- Sep 14, 2026
- 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 | 3939 | CT | Primary |
Addresses
Primary practice location
107 Church Hill Rd Ste 1a
Sandy Hook, CT 06482-1194
Mailing address
1 Botsford Hill Rd # 756
Botsford, CT 06404-9991
Phone (203) 451-1062
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1205747003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BOTSFORD HILL RD # 756",
"city": "BOTSFORD",
"state": "CT",
"postal_code": "064049991",
"telephone_number": "203-451-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHURCH HILL RD STE 1A",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821194",
"telephone_number": "475-323-2200",
"fax_number": "475-323-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "TARA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LMFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "3939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Hook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.