Avrey C. Juntilla-Smith, LMFT-A

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3245 Issued in CT

Practice address

230 Main Street Ext
Middletown, CT 06457-4470

Phone

(860) 343-5303

NPI assigned

Sep 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1366228306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851130",
            "telephone_number": "860-575-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAIN STREET EXT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574470",
            "telephone_number": "860-343-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNTILLA-SMITH",
        "first_name": "AVREY",
        "middle_name": "C.",
        "credential": "LMFT-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "3245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan B Sosa, MD PC
• Ivonne Elizabeth Juarez-Chavez
• Brad A Jubelirer, MD
• Theresa Juliani
• Janice M Juliano, LCSW
• Just for Comfort Home Healthcare LLC
• Christopher George Kaczegowicz
• David B Kalayjian, MD
• Karthikeyan Kandavelou, MD
• Michael Kane, ND

• Marriage & Family Therapist in Middletown, CT
• Providers in Middletown, 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 6, 2023; 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.