Jennifer L Schaefer, LMFT
Individual provider Active NPI Marriage & Family Therapist · Vernon Rockville, CT
NPI 1730635012 · NPPES record last updated Aug 28, 2016
Key facts
- NPI
- 1730635012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 001830 (CT)
- Practice address
- 45 Hartford Turnpike
Suite 2
Vernon Rockville, CT 06042-5274 - Phone
- (860) 647-8995
- Fax
- (860) 647-6930
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 10, 2025 through Jul 10, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001830 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revived Connections LLC | Current | Accepting new patients | |
| Ampersand Therapy LLC | Current | Accepting new patients | |
| Psychotherapy Services of CT, LLC | Marriage & Family Therapist | Past |
Accepting new patients |
Locations
66 Cedar St
Ste 203
Newington, CT 06111
Phone (860) 248-7918
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001830 | CT | Yes |
Addresses
Primary practice location
45 Hartford Turnpike
Suite 2
Vernon Rockville, CT 06042-5274
Mailing address
45 Hartford Turnpike
Suite 2
Vernon Rockville, CT 06042-5274
Phone (860) 647-8995
Other providers in Vernon Rockville, CT
- Keryn J Rausch
- Todd Redden
- Stephen Rucki
- Jake Samlall
- Rachel Sauter
- Robert Nicholas Schlosser
- Schroeder Associates Psychological Services, Inc.
- David G Schroeder
- Chandra Singh-Wilson
- Robert Soderberg
All providers in Vernon Rockville, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.