Individual provider Active NPI

Chris L Carson, LMFT

  • Marriage & Family Therapist
  • West Hartford, CT
National Provider Identifier
1427632835
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2983 Issued in CT
Practice address
998 Farmington Ave Ste 201
West Hartford, CT 06107-2187
Phone
(860) 913-1767
NPI assigned
May 11, 2021
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 2983 CT Primary

Addresses

Primary practice location

998 Farmington Ave Ste 201
West Hartford, CT 06107-2187

Mailing address

156 Griswold Dr
West Hartford, CT 06119-1021
Phone (860) 997-9857

Other practice location 1

156 Griswold Dr
West Hartford, CT 06119-1021
Phone (860) 997-9857

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
I20240327001583 CT Practitioner - Marriage and Family Therapist 4981041837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 Brace Rd
Suite 2
West Hartford, CT 06107-1808
Phone (860) 400-2048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2983CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Carson Marriage & Family Therapy, LLC Marriage & Family Therapist CurrentSince Nov 8, 2023 Accepting new patients

Locations

75 Brace Rd
Ste 2
West Hartford, CT 06107
Phone (860) 400-2018

998 Farmington Ave
Ste 201
West Hartford, CT 06107
Phone (860) 913-1767

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1427632835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 GRISWOLD DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191021",
            "telephone_number": "860-997-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 FARMINGTON AVE STE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072187",
            "telephone_number": "860-913-1767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Griswold Dr",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191021",
            "country_code": "US",
            "telephone_number": "860-997-9857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "CHRIS",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.