Individual provider Active NPI

Lauren Marie Pedersen, LMFT

  • Marriage & Family Therapist
  • New Britain, CT
National Provider Identifier
1770874166
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1449 Issued in CT
Practice address
185 Main St
Suite 411
New Britain, CT 06051-2296
Phone
(860) 826-2269
Fax
(860) 826-2213
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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 1449 CT Primary

Addresses

Primary practice location

185 Main St
Suite 411
New Britain, CT 06051-2296

Mailing address

185 Main St
Suite 411
New Britain, CT 06051-2296
Phone (860) 826-2269

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

LicenseStateTypeSpecialty
1449CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Pedersen LMFT LLC Marriage & Family Therapist Current Accepting new patients
Klingberg Comprehensive Program Services Past Accepting new patients
Klingberg Comprehensive Family Services, Inc. Past Accepting new patients

Locations

314 New Britain Rd
Ste C
Kensington, CT 06037
Phone (860) 385-4897

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1770874166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MAIN ST",
            "address_2": "SUITE 411",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512296",
            "telephone_number": "860-826-2269",
            "fax_number": "860-826-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MAIN ST",
            "address_2": "SUITE 411",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512296",
            "telephone_number": "860-826-2269",
            "fax_number": "860-826-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.