Active NPI
Kimberly Jewell, LMFT LLC
- Marriage & Family Therapist
- Cheshire, CT
National Provider Identifier
1588322788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Jewell, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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 DirectoryPractitioners & 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.
-
- Marriage & Family Therapist
- Bristol, CT
- NPI 1265966493
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.