Active NPI
Ebonee Monique Smiley, MFT-A
- Marriage & Family Therapist
- Niantic, CT
National Provider Identifier
1508632027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3304
- Practice address
- 8 W Main St Ste 3-15
Niantic, CT 06357-2332 - Phone
- (203) 249-3184
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3304 | CT | Primary |
Addresses
Primary practice location
8 W Main St Ste 3-15
Niantic, CT 06357-2332
Mailing address
8 W Main St Ste 3-15
Niantic, CT 06357-2332
Phone (860) 451-9364
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 |
|---|---|---|---|
| 3304 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1508632027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 W MAIN ST STE 3-15",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063572332",
"telephone_number": "860-451-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 W MAIN ST STE 3-15",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063572332",
"telephone_number": "203-249-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "EBONEE",
"middle_name": "MONIQUE",
"credential": "MFT-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "3304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.