Active NPI
Rebecca Ambrose, LMFT
- Marriage & Family Therapist
- Monroe, CT
National Provider Identifier
1699167882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001260
- Practice address
- 324 Elm St Ste 204B
Monroe, CT 06468-2284 - Phone
- (203) 521-5714
- NPI assigned
- Feb 24, 2015
- Last updated
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001260 | CT | Primary |
Addresses
Primary practice location
324 Elm St Ste 204B
Monroe, CT 06468-2284
Mailing address
324 Elm St Ste 204B
Monroe, CT 06468-2284
Phone (203) 521-5714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001260 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1699167882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 ELM ST STE 204B",
"city": "MONROE",
"state": "CT",
"postal_code": "064682284",
"telephone_number": "203-521-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ELM ST STE 204B",
"city": "MONROE",
"state": "CT",
"postal_code": "064682284",
"telephone_number": "203-521-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSE",
"first_name": "REBECCA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.