Individual provider Active NPI

Ashley Beckerman, LMFT

  • Marriage & Family Therapist
  • New Britain, CT
National Provider Identifier
1619213923
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0002534 Issued in CT
Practice address
643 W Main St Apt 3E
New Britain, CT 06053-3954
Phone
(860) 395-8522
NPI assigned
Dec 14, 2012
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 0002534 CT Primary

Addresses

Primary practice location

643 W Main St Apt 3E
New Britain, CT 06053-3954

Mailing address

643 W Main St Apt 3E
New Britain, CT 06053-3954
Phone (860) 395-8522

Other practice location 1

47 Town St
Norwich, CT 06360-2315
Phone (860) 892-7042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919003127 CT Practitioner - Marriage and Family Therapist 9537600317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balancing Act LLCGroup PAC ID 1355789025, 3 clinicians

Practice addresses (Care Compare)

325 S Main St
Suite 3
Cheshire, CT 06410-3159
Phone (203) 651-8647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0002534CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balancing Act, LLC Marriage & Family Therapist CurrentSince Jul 18, 2024 Accepting new patients

Locations

325 S Main St
Ste 3
Cheshire, CT 06410
Phone (203) 651-8647

325 S Main St
Ste 4
Cheshire, CT 06410

Interoperability endpoints

  • Direct secure messaging: ashley.beckerman.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1619213923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 W MAIN ST APT 3E",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533954",
            "telephone_number": "860-395-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W MAIN ST APT 3E",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533954",
            "telephone_number": "860-395-8522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Town St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602315",
            "country_code": "US",
            "telephone_number": "860-892-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKERMAN",
        "first_name": "ASHLEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "0002534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.