Individual provider Active NPI

Martin Smith, LMFT

  • Marriage & Family Therapist
  • West Hartford, CT
National Provider Identifier
1487008066
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001335 Issued in CT
Practice address
1038 Farmington Ave
West Hartford, CT 06107-2109
Phone
(860) 521-8035
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 001335 CT Primary

Addresses

Primary practice location

1038 Farmington Ave
West Hartford, CT 06107-2109

Mailing address

25 Pinecrest Rd
West Hartford, CT 06117-2637
Phone (860) 250-2553

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
I20251223002541 CT Practitioner - Marriage and Family Therapist 9234624644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
The Bridge Family Center IncGroup PAC ID 1951685064, 5 clinicians

Practice addresses (Care Compare)

1021 Farmington Ave
West Hartford, CT 06107-2106
Phone (860) 313-1119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001335CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge Family Center, Inc CurrentSince Oct 12, 2025 Accepting new patients

Locations

45 W Main St
Avon, CT 06001
Phone (860) 313-1119

100 Shield St
#C
West Hartford, CT 06110
Phone (860) 906-1072

1022 Farmington Ave
West Hartford, CT 06107
Phone (860) 521-8035

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1487008066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PINECREST RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172637",
            "telephone_number": "860-250-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072109",
            "telephone_number": "860-521-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.