Chris Carson Marriage & Family Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CHRIS CARSON MARRIAGE & FAMILY THERAPY, LLC

Practice address

75 Brace Rd Ste 2
West Hartford, CT 06107-1808

Phone

(860) 400-2018

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Sue Roach

Title

Access Manager

Phone

(860) 368-7092

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris L Carson, LMFT

  • Marriage & Family Therapist
  • West Hartford, CT
  • NPI 1427632835
  Medicare reassignment NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1306544341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 GRISWOLD DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191021",
            "telephone_number": "860-400-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BRACE RD STE 2",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071808",
            "telephone_number": "860-400-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 Farmington Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061072187",
            "country_code": "US",
            "telephone_number": "860-400-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRIS CARSON MARRIAGE & FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "860-368-7092"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Wimsatt Childs, PH.D.
• Elizabeth Ejimnkeonye Chime-Udeh, PHARM.D.
• Krishan Chirimunj, MD
• Elizabeth Cipes Chisholm, D.M.D
• Ami V Chokshi, NBC-HWC
• Aldon Christian
• Sandra Jean Christianson, LMFT
• Katherine Christy, M.S.
• Deanna G. Chvatal, LMFT
• Amanda Victoria Ciaramella, PT

• Marriage & Family Therapist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.