Jason Tartt, LCSW – Clinical Social Worker

Key facts

NPI: 1497129407
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 11998 (CT)
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
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Balance Therapy Services, LLC Clinical Social Worker · East Berlin, CT · NPI 1740919653

NPD Authorized official CLINICAL
Community Mental Health Affiliates Inc Mental Health Clinic/Center (Including Community Mental Health Center) · New Britain, CT · NPI 1174624423

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

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 since Jul 24, 2022	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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	11998	CT	Yes

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

Identifier	Type	State	Issuer
11998	Other	CT	LCSW LICENSE

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	https://balancetherapy.clientsecure.me	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2022.

{
    "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

All providers in East Berlin, CT · Clinical Social Worker in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.