Individual provider Active NPI

Jennifer L Schaefer, LMFT

  • Marriage & Family Therapist
  • Vernon Rockville, CT
National Provider Identifier
1730635012
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001830 Issued in 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
Last updated
Aug 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001830 CT Primary

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

Medicare participation

Medicare enrollment files
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

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001830CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revived Connections LLC Current Accepting new patients
Ampersand Therapy LLC Current Accepting new patients
Psychotherapy Services of CT, LLC Marriage & Family Therapist PastSince Jun 24, 2010 Accepting new patients

Locations

66 Cedar St
Ste 203
Newington, CT 06111
Phone (860) 248-7918

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1730635012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HARTFORD TURNPIKE",
            "address_2": "SUITE 2",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060425274",
            "telephone_number": "860-647-8995",
            "fax_number": "860-647-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HARTFORD TURNPIKE",
            "address_2": "SUITE 2",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060425274",
            "telephone_number": "860-647-8995",
            "fax_number": "860-647-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Rockville, CT

Sources for this page

Verify at the official NPI Registry.