Organization Active NPI

Koenig Family Therapy LLC

  • Community/Behavioral Health Agency
  • Fairfield, CT
National Provider Identifier
1700235900
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002925 Issued in CT
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.