Diane Ellen Smith, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001054 Issued in CT

Practice address

519 Hertiage Road
Suite 2D
Southbury, CT 06488-1699

Phone

(203) 232-7667

Fax

(203) 881-9136

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1497819288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SCOTT DRIVE",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781553",
            "telephone_number": "203-232-7667",
            "fax_number": "203-881-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 HERTIAGE ROAD",
            "address_2": "SUITE 2D",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881699",
            "telephone_number": "203-232-7667",
            "fax_number": "203-881-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Main Street",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "06810",
            "country_code": "US",
            "telephone_number": "203-743-4412 x226",
            "fax_number": "203-738-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001054",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003522",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manimala Sinha
• Erika N Skaret, APRN
• Smile Spot LLC
• Angela Victoria Smith, MS, RD, CSN, LDN
• Clay Songow Smith I
• Elizabeth A Snyder, LMFT
• Victoria Ann Sosnoski
• Southbury Adolescent and Young Adult Counseling Center
• Southbury Ambulance Association Inc
• Southbury Audiology LLC

• Marriage & Family Therapist in Southbury, CT
• Providers in Southbury, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.