Individual provider Active NPI

Kristin L Hosp, MFT-A

  • Marriage & Family Therapist
  • Southbury, CT
National Provider Identifier
1780372458
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3077 Issued in CT
Practice address
One Pomperaug Office Park Rd.
Building One, Suite103
Southbury, CT 06488
Phone
(203) 558-1143
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 3077 CT Primary

Addresses

Primary practice location

One Pomperaug Office Park Rd.
Building One, Suite103
Southbury, CT 06488

Mailing address

32 Clover Hill Rd
Trumbull, CT 06611-2513
Phone (203) 913-1024

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
3077CTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1780372458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CLOVER HILL RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066112513",
            "telephone_number": "203-913-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE POMPERAUG OFFICE PARK RD.",
            "address_2": "BUILDING ONE, SUITE103",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-558-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSP",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "MFT-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.