Individual provider Active NPI

Thomas Morris, LMFT

  • Marriage & Family Therapist
  • South Windsor, CT
National Provider Identifier
1376825927
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1662 Issued in CT
Practice address
435 Buckland Rd Ste 21
South Windsor, CT 06074-3720
Phone
(860) 823-7074
NPI assigned
Sep 9, 2011
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 1662 CT Primary

Addresses

Primary practice location

435 Buckland Rd Ste 21
South Windsor, CT 06074-3720

Mailing address

54 Laurel TRL
Coventry, CT 06238-2957
Phone (860) 823-7074

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617002522 CT Practitioner - Marriage and Family Therapist 8729599659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

435 Buckland Rd
Suite 21
South Windsor, CT 06074-3720
Phone (860) 823-7074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1662CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Between Now and Then Marriage & Family Therapist CurrentSince Mar 31, 2025 Accepting new patients

Locations

1750 Ellington Rd
Ste 3
South Windsor, CT 06074
Phone (860) 595-2377

435 Buckland Rd
Ste 21
South Windsor, CT 06074
Phone (860) 823-7074

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1376825927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LAUREL TRL",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062382957",
            "telephone_number": "860-823-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BUCKLAND RD STE 21",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743720",
            "telephone_number": "860-823-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "THOMAS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.