Kionna Tyann Whitehead, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

002781 Issued in CT

Practice address

128 Garden St
Farmington, CT 06032-2254

Phone

(860) 292-0187

NPI assigned

Jan 4, 2010

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kionna.whitehead.p1@direct.wheelerclinic.nextgenshare.com

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1568792174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 GARDEN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322254",
            "telephone_number": "860-997-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 GARDEN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322254",
            "telephone_number": "860-292-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "KIONNA",
        "middle_name": "TYANN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "002781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Clare White, APRN
• Brittany Joanna White, RN, IBCLC
• Dollett Tanisha White, MD
• Kristina White, COTA/L
• William B White, MD
• Alicia Whiting, MSN, APRN, FNP-BC
• Steven Craig Whiting, M.D.
• Wholeness Acupuncture Center
• Rory Evan Wieczorek-Flynn
• Felix Johannes Alfred Wiesmueller, MD

• Marriage & Family Therapist in Farmington, CT
• Providers in Farmington, 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 Mar 21, 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.

Verify at the official NPI Registry.