Active NPI
Koenig Family Therapy LLC
- Community/Behavioral Health Agency
- Fairfield, CT
National Provider Identifier
1700235900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 002925
- Legal business name
- KOENIG FAMILY THERAPY LLC
- Practice address
- 400 Stillson Rd
Fairfield, CT 06824-3103 - Phone
- (203) 623-4373
- NPI assigned
- Jun 8, 2016
- Last updated
- Jun 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Ashley Anderson
- Title
- Authorized Official/Billing Admin
- Phone
- (541) 646-5122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 002925 | CT | Primary |
Addresses
Primary practice location
400 Stillson Rd
Fairfield, CT 06824-3103
Mailing address
11 Berkshire Rd
Ansonia, CT 06401-2444
Phone (203) 623-4373
National Provider Directory
National Provider DirectoryLocations
400 Stillson Rd
Fairfield, CT 06824
Phone (203) 335-7000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Milford, CT
- NPI 1710331848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465344000000",
"number": "1700235900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BERKSHIRE RD",
"city": "ANSONIA",
"state": "CT",
"postal_code": "064012444",
"telephone_number": "203-623-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 STILLSON RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068243103",
"telephone_number": "203-623-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOENIG FAMILY THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/BILLING ADMIN",
"authorized_official_telephone_number": "541-646-5122",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CT",
"license": "002925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.