Active NPI
David L Francis, LPC
- Professional Counselor
- Glastonbury, CT
National Provider Identifier
1801976394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001145
- Practice address
- 39 New London Tpke
Suite 320
Glastonbury, CT 06033-2061 - Phone
- (860) 633-2084
- Fax
- (860) 633-5452
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001145 | CT | Primary |
Addresses
Primary practice location
39 New London Tpke
Suite 320
Glastonbury, CT 06033-2061
Mailing address
39 New London Tpke
Suite 320
Glastonbury, CT 06033-2061
Phone (860) 633-2084
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205816 | Other | MHN | |
| 300000112CT01 | Other | CT | BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001145 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801976394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 NEW LONDON TPKE",
"address_2": "SUITE 320",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332061",
"telephone_number": "860-633-2084",
"fax_number": "860-633-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 NEW LONDON TPKE",
"address_2": "SUITE 320",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332061",
"telephone_number": "860-633-2084",
"fax_number": "860-633-5452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCIS",
"first_name": "DAVID",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "205816",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "300000112CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.