Individual provider Active NPI

Heidi Henderson Siebert, MFT

  • Marriage & Family Therapist
  • Southport, CT
National Provider Identifier
1740455435
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001250 Issued in CT
Practice address
49 John Street
New Learning Therapy Center
Southport, CT 06890-1436
Phone
(203) 307-3030
Fax
(203) 255-7486
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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 001250 CT Primary

Addresses

Primary practice location

49 John Street
New Learning Therapy Center
Southport, CT 06890-1436

Mailing address

37 Senior PL
Fairfield, CT 06825-1344
Phone (203) 334-6905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 17, 2024 through Aug 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1250CTMDBehavioral Analyst
001250CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi H Siebert, LMFT, LLC Marriage & Family Therapist Current Accepting new patients
Janet Brown Mendell LLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1740455435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SENIOR PL",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251344",
            "telephone_number": "203-334-6905",
            "fax_number": "203-255-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 JOHN STREET",
            "address_2": "NEW LEARNING THERAPY CENTER",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901436",
            "telephone_number": "203-307-3030",
            "fax_number": "203-255-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "HEIDI",
        "middle_name": "HENDERSON",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, CT

Sources for this page

Verify at the official NPI Registry.