Sue Ellen Daniels, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001003 Issued in CT

Practice address

163 Boston Post Rd
Suites 3/4
Waterford, CT 06385-2809

Phone

(860) 444-8774

Fax

(860) 444-8776

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connections Counseling Center, LLC

  • Psychiatry Physician
  • Waterford, CT
  • NPI 1114069663

  Marriage & Family Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780785162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "address_2": "163 BOSTON POST RD SUITES 3/4",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852809",
            "telephone_number": "860-444-8774",
            "fax_number": "860-444-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BOSTON POST RD",
            "address_2": "SUITES 3/4",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852809",
            "telephone_number": "860-444-8774",
            "fax_number": "860-444-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "SUE ELLEN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "299625",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "410001003CT06",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tiarra Shafer Cupp, BCBA
• Curtin Motor Livery Service, Inc.
• Matthew Leon Danish, MD
• Colleen Davis
• Jonathan Dean, LMFT
• Frank R. Dellacono, M.D.
• Brittany Desantis

• Marriage & Family Therapist in Waterford, CT
• Providers in Waterford, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.