Kristen Michelle Gaedeke, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2230 Issued in CT

Practice address

53 New Britain Ave
Rocky Hill, CT 06067-1175

Phone

(860) 322-6559

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Connect Authentically LLC

  • Marriage & Family Therapist
  • Rocky Hill, CT
  • NPI 1477399848
  NPD Authorized official
• Westbrook Youth & Family Services, Inc

  • Marriage & Family Therapist
  • Westbrook, CT
  • NPI 1437468386
  NPD (past)

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1578229969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LAKE RD",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801364",
            "telephone_number": "860-322-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NEW BRITAIN AVE",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671175",
            "telephone_number": "860-322-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEDEKE",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Friedlander, LCSW
• Joanita Frimpong, APRN
• Dominic Louis Fusco III, D.M.D.
• Michael Ronald Gabor, DMD, PC
• Fadriona Gaci
• Susan Gainty
• James Galvin, LMSW
• Cheri Ann Garet
• Eric David Gaudette
• Amber Marie Geraldi

• Marriage & Family Therapist in Rocky Hill, CT
• Providers in Rocky Hill, 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 Jul 5, 2024; 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.