Organization Active NPI

Kristen K Wold LMFT LLC

  • Marriage & Family Therapist
  • Farmington, CT
National Provider Identifier
1720504251
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001744 Issued in CT
Legal business name
KRISTEN K WOLD LMFT LLC
Practice address
304 Main St Ste 418
Farmington, CT 06032-2985
Phone
(860) 595-2890
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kristen K Wold, LMFTNPI 1861749723
Title
Owner
Phone
(860) 595-2890

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001744 CT Primary

Addresses

Primary practice location

304 Main St Ste 418
Farmington, CT 06032-2985

Mailing address

304 Main St Ste 418
Farmington, CT 06032-2985
Phone (860) 595-2890

Other identifiers 1

IdentifierTypeStateIssuer
008060366MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720504251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN ST STE 418",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322985",
            "telephone_number": "860-595-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST STE 418",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322985",
            "telephone_number": "860-595-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN K WOLD LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-595-2890",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008060366",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.