Active NPI
Jordan Roberts, LMFT
- Marriage & Family Therapist
- Niantic, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1961
- Practice address
- 30 W Main St
Niantic, CT 06357-2340 - Phone
- (860) 691-0873
- NPI assigned
- Mar 12, 2014
- Last updated
- Mar 26, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 1961 | CT | Primary |
Addresses
Primary practice location
30 W Main St
Niantic, CT 06357-2340
Mailing address
40 Sunnybrook LN
Clinton, CT 06413-1621
Phone (860) 303-2852
Other practice location 1
74 East St
Plainville, CT 06062-2367
Phone (860) 303-2852
Other practice location 2
481 Gold Star Hwy # 100
Groton, CT 06340-6702
Phone (860) 446-8858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1961 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windham Community Memorial Hospital, Inc. | Current | Accepting new patients | |
| The William W Backus Hospital | Current | Accepting new patients | |
| William W Backus Hospital | Current | Accepting new patients | |
| Community Health Center Inc | Past | Accepting new patients | |
| Oceanside Recovery LLC | Past | Accepting new patients |
Locations
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
dba City of Danbury Emergency Shelter WYA
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
-
- Psychiatric/Mental Health Nurse Practitioner
- East Lyme, CT
- NPI 1740578830
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1356767552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SUNNYBROOK LN",
"city": "CLINTON",
"state": "CT",
"postal_code": "064131621",
"telephone_number": "860-303-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W MAIN ST",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063572340",
"telephone_number": "860-691-0873"
}
],
"practiceLocations": [
{
"address_1": "74 East St",
"address_purpose": "LOCATION",
"city": "Plainville",
"state": "CT",
"postal_code": "060622367",
"country_code": "US",
"telephone_number": "860-303-2852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "481 Gold Star Hwy # 100",
"address_purpose": "LOCATION",
"city": "Groton",
"state": "CT",
"postal_code": "063406702",
"country_code": "US",
"telephone_number": "860-446-8858",
"fax_number": "860-405-2140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JORDAN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "1961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.