NPIMap

Organization Active NPI

Jennifer Charbonnierlmft, LLC

  • Marriage & Family Therapist
  • Old Saybrook, CT
National Provider Identifier
1629316492
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000386 Issued in CT
Legal business name
JENNIFER CHARBONNIERLMFT, LLC
Practice address
100 Main St
Carriage House
Old Saybrook, CT 06475-2365
Phone
(860) 388-3520
Fax
(860) 388-3520
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Jennifer Charbonnier
Title
Marital & Family Therapist
Phone
(860) 388-3520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 000386 CT Primary
Community/Behavioral Health Agency 251S00000X 000386 CT

Addresses

Primary practice location

100 Main St
Carriage House
Old Saybrook, CT 06475-2365

Mailing address

100 Main St
Carriage House
Old Saybrook, CT 06475-2365
Phone (860) 388-3520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1629316492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "address_2": "CARRIAGE HOUSE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752365",
            "telephone_number": "860-388-3520",
            "fax_number": "860-388-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "address_2": "CARRIAGE HOUSE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752365",
            "telephone_number": "860-388-3520",
            "fax_number": "860-388-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CHARBONNIERLMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "CHARBONNIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MARITAL & FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-388-3520"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000386",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "000386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.