Active NPI
Jane Reynolds Todorski, LMFT
- Marriage & Family Therapist
- New Milford, CT
National Provider Identifier
1720107055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000812
- Practice address
- 42 Main Street
New Milford, CT 06776 - Phone
- (203) 788-4275
- Fax
- (860) 868-6071
- NPI assigned
- Mar 28, 2007
- 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 | 000812 | CT | Primary |
Addresses
Primary practice location
42 Main Street
New Milford, CT 06776
Mailing address
204 Old Litchfield Rd
Washington, CT 06793-1116
Phone (860) 868-7585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410000812CT02 | Other | CT | ANTHEM INSURANCE |
Other names 1
- Mrs. Jane Ellis Reynolds Todorski
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 |
|---|---|---|---|
| 000812 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1720107055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 OLD LITCHFIELD RD",
"city": "WASHINGTON",
"state": "CT",
"postal_code": "067931116",
"telephone_number": "860-868-7585",
"fax_number": "860-868-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 MAIN STREET",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "06776",
"telephone_number": "203-788-4275",
"fax_number": "860-868-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODORSKI",
"first_name": "JANE",
"middle_name": "REYNOLDS",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "000812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INSURANCE",
"identifier": "410000812CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "REYNOLDS TODORSKI",
"middle_name": "ELLIS",
"prefix": "MRS.",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.