Individual provider Active NPI

Kathleen Louise Deschenes, LMFT

  • Marriage & Family Therapist
  • Watertown, CT
National Provider Identifier
1811041353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000592 Issued in CT
Practice address
51 Depot Street
Suite 209
Watertown, CT 06795-2028
Phone
(860) 274-2364
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000592 CT Primary

Addresses

Primary practice location

51 Depot Street
Suite 209
Watertown, CT 06795-2028

Mailing address

285 Beach Avenue
Watertown, CT 06795-2028
Phone (860) 274-2364

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250903001893 CT Practitioner - Marriage and Family Therapist 3678074366 Practice locations: Watertown, CT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

51 Depot St
Suite 209
Watertown, CT 06795-2629

51 Depot St
Suite 209
Watertown, CT 06795-2667
Phone (860) 274-2364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000592CTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811041353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BEACH AVENUE",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952028",
            "telephone_number": "860-274-2364",
            "fax_number": "860-945-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DEPOT STREET",
            "address_2": "SUITE 209",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952028",
            "telephone_number": "860-274-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHENES",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.