Individual provider Active NPI

Sonya M. Cosumano, LMFT, M.ED.

  • Marriage & Family Therapist
  • South Windsor, CT
National Provider Identifier
1326202409
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001265 Issued in CT
Practice address
435 Chapel Rd Ste E
South Windsor, CT 06074-4157
Phone
(860) 436-4390
Fax
(860) 436-6448
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 001265 CT Primary

Addresses

Primary practice location

435 Chapel Rd Ste E
South Windsor, CT 06074-4157

Mailing address

435 Chapel Rd Ste E
South Windsor, CT 06074-4157
Phone (860) 436-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 10, 2024 through Oct 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
001265CTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1326202409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CHAPEL RD STE E",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060744157",
            "telephone_number": "860-436-4390",
            "fax_number": "860-436-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CHAPEL RD STE E",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060744157",
            "telephone_number": "860-436-4390",
            "fax_number": "860-436-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSUMANO",
        "first_name": "SONYA",
        "middle_name": "M.",
        "credential": "LMFT, M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.