Individual provider Active NPI

Sandra Jean Christianson, LMFT

  • Marriage & Family Therapist
  • West Hartford, CT
National Provider Identifier
1316077811
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001042 Issued in CT
Practice address
45 S Main St Ste 70
West Hartford, CT 06107-2426
Phone
(860) 687-9771
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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 001042 CT Primary

Addresses

Primary practice location

45 S Main St Ste 70
West Hartford, CT 06107-2426

Mailing address

1077 Silas Deane Hwy Unit 192
Wethersfield, CT 06109-4229

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

LicenseStateTypeSpecialty
001042CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Courageous Change PLLC Marriage & Family Therapist Current Accepting new patients

Locations

45 S Main St
Ste 70
West Hartford, CT 06107
Phone (860) 288-7219

1077 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 299-6992

30 Maple Ave
Windsor, CT 06095
Phone (860) 246-7999

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1316077811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 SILAS DEANE HWY UNIT 192",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST STE 70",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072426",
            "telephone_number": "860-687-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.