Organization Active NPI

Kimberly Jewell, LMFT LLC

  • Marriage & Family Therapist
  • Cheshire, CT
National Provider Identifier
1588322788
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KIMBERLY JEWELL, LMFT LLC
Practice address
615 W Johnson Ave Ste 202
Cheshire, CT 06410-4532
Phone
(860) 506-6169
NPI assigned
Dec 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Authorized official

Name
Mrs. Kimberly Jewell, LMFTNPI 1265966493
Title
Owner
Phone
(860) 506-6169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

615 W Johnson Ave Ste 202
Cheshire, CT 06410-4532

Mailing address

26 Murray Rd Apt 2
Bristol, CT 06010-6880
Phone (860) 506-6169

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638576000000",
    "number": "1588322788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MURRAY RD APT 2",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106880",
            "telephone_number": "860-506-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W JOHNSON AVE STE 202",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104532",
            "telephone_number": "860-506-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY JEWELL, LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-506-6169",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.