Individual provider Active NPI

Glenna Elizabeth Voytovich, MA MFT

  • Marriage & Family Therapist
  • Farmington, CT
National Provider Identifier
1508945320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000541 Issued in CT
Practice address
333 Scott Swamp Rd
Farmington, CT 06032-3414
Phone
(860) 676-2418
Fax
(203) 583-3924
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000541 CT Primary

Addresses

Primary practice location

333 Scott Swamp Rd
Farmington, CT 06032-3414

Mailing address

333 Scott Swamp Rd
Farmington, CT 06032-3414
Phone (860) 676-2418

Other identifiers 1

IdentifierTypeStateIssuer
410000541CT02OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Glenna Elizabeth Mietz Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000541CTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508945320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCOTT SWAMP RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323414",
            "telephone_number": "860-676-2418",
            "fax_number": "203-583-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCOTT SWAMP RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323414",
            "telephone_number": "860-676-2418",
            "fax_number": "203-583-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOYTOVICH",
        "first_name": "GLENNA",
        "middle_name": "ELIZABETH",
        "credential": "MA MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "410000541CT02",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENNA",
            "last_name": "MIETZ",
            "middle_name": "ELIZABETH",
            "credential": "MA MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.