Jennifer Cora Slack, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001379 Issued in CT

Practice address

1630 Cross Hwy
Fairfield, CT 06824-1707

Phone

(203) 434-5135

NPI assigned

Apr 13, 2010

Last updated

Apr 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Jennifer Slack, LMFT

  • Marriage & Family Therapist
  • Fairfield, CT
  • NPI 1376934497
  NPD (past) Authorized official

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1659697829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CROSS HWY",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068241707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CROSS HWY",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068241707",
            "telephone_number": "203-434-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "JENNIFER",
        "middle_name": "CORA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karishma M Singh
• Christopher Skelton, DC
• Skin Docs, LLC
• Sara Skrabl, DMD
• Bogusia Skudrzyk, PHD
• Sophie Slater, LPC
• Sleep Apnea Center of Connecticut LLC (The Sleep Apnea Center of Connecticut LLC)
• Sleep Healthcare of CT LLC
• Sleepwell Doctor
• Peter Alan Small, M.D.

• Marriage & Family Therapist in Fairfield, CT
• Providers in Fairfield, 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 Apr 13, 2010; 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.