Stephanie Simard

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

002461 Issued in CT

Practice address

257 N Washington St
Plainville, CT 06062-1639

Phone

(860) 919-6188

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Williams & Bassoli, LLP

  dba Willow Tree Wellness

  • Clinical Social Worker
  • Southington, CT
  • NPI 1720555642

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1326655200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 N WASHINGTON ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621639",
            "telephone_number": "860-919-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 N WASHINGTON ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621639",
            "telephone_number": "860-919-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 N Main St Ste 2H",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064892577",
            "country_code": "US",
            "telephone_number": "860-276-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMARD",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "002461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "002461",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara R Shohet, M.A.
• Shelbi Siarkowski, LPC
• Melissa Nicole Silva
• Nancy D Silver, MSW
• Jason R Silvey
• Molly Simmons
• Shavonne Juneene Sims
• Jennifer Marie Singh, LMFT
• Joseph G Sinning, MD
• Sharon Betty Siopa, MSW

• Marriage & Family Therapist in Plainville, CT
• Providers in Plainville, 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 Sep 25, 2020; 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.