Anna Catherine Davenport, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000724 Issued in CT

Practice address

11 High St Ste 202
Suffield, CT 06078-2125

Phone

(860) 668-1444

Fax

(860) 668-1446

NPI assigned

Dec 9, 2011

Last updated

Dec 13, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Marriage and Family Therapist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Magnolia Counseling LLC

  • Marriage & Family Therapist
  • Suffield, CT
  • NPI 1922435593
  Authorized official Same address or phone

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1689942336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HIGH ST STE 202",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782125",
            "telephone_number": "860-668-1444",
            "fax_number": "860-668-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HIGH ST STE 202",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782125",
            "telephone_number": "860-668-1444",
            "fax_number": "860-668-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008038165",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A. Crosson
• Amanda M Cuevas, CT-LCSW
• Jaclyn Czerniak, LPC
• D4 Performance Lab
• Dahlia Counseling Services, LLC
• Heidi Suzanne Deflorio, P.T.
• Josephine Diaz
• Christine L Doucette, APRN
• Heather Reichhart Dugan, LPC
• Ec Counseling Group LLC

• Marriage & Family Therapist in Suffield, CT
• Providers in Suffield, 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 Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.