Active NPI
Jason Tartt, LCSW
- Clinical Social Worker
- East Berlin, CT
National Provider Identifier
1497129407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11998
- Practice address
- 1224 Mill Street
BLDG. B Suite 113
East Berlin, CT 06023-0602 - Phone
- (860) 748-9443
- Fax
- (860) 371-3840
- NPI assigned
- Nov 16, 2015
- Last updated
- Jul 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11998 | CT | Primary |
Addresses
Primary practice location
1224 Mill Street
BLDG. B Suite 113
East Berlin, CT 06023-0602
Mailing address
Balance Therapy Services, LLC
32 Highland Terrace
New Britain, CT 06053
Phone (860) 989-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11998 | Other | CT | LCSW LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://balancetherapy.clientsecure.me | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11998 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Therapy Services, LLC | Clinical | Current | Accepting new patients |
| Community Mental Health Affiliates Inc | Past | Accepting new patients |
Locations
1224 Mill St
Ste B113
East Berlin, CT 06023
Phone (860) 748-9443
Organizations & group practices 2
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.
-
- Clinical Social Worker
- East Berlin, CT
- NPI 1740919653
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Britain, CT
- NPI 1174624423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1497129407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BALANCE THERAPY SERVICES, LLC",
"address_2": "32 HIGHLAND TERRACE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "06053",
"telephone_number": "860-989-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 MILL STREET",
"address_2": "BLDG. B SUITE 113",
"city": "EAST BERLIN",
"state": "CT",
"postal_code": "060230602",
"telephone_number": "860-748-9443",
"fax_number": "860-371-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARTT",
"first_name": "JASON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-16",
"last_updated": "2022-07-20",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "11998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE",
"identifier": "11998",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://balancetherapy.clientsecure.me",
"affiliation": "N",
"endpointDescription": "Secure messaging from SimplePractice",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1224 Mill Street",
"address_2": "Bldg. B Suite 113",
"city": "East Berlin",
"state": "CT",
"country_code": "US",
"postal_code": "060230602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.