NPIMap

Organization Active NPI

Jennifer Badeau, LLC

  • Community/Behavioral Health Agency
  • Rocky Hill, CT
National Provider Identifier
1710415658
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001364
Legal business name
JENNIFER BADEAU, LLC
Practice address
2301 Silas Deane Hwy Unit 1
Rocky Hill, CT 06067-2330
Phone
(860) 810-5915
NPI assigned
May 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Badeau, LMFTNPI 1740488568
Title
Owner
Phone
(860) 810-5915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001364 Primary

Addresses

Primary practice location

2301 Silas Deane Hwy Unit 1
Rocky Hill, CT 06067-2330

Mailing address

26 Clyde Rd
Manchester, CT 06042-3332

Other identifiers 1

IdentifierTypeStateIssuer
008016362MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1710415658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CLYDE RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SILAS DEANE HWY UNIT 1",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672330",
            "telephone_number": "860-810-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BADEAU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "BADEAU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-810-5915",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "001364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008016362",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.