Individual provider Active NPI

Elizabeth Jane Golden

  • Marriage & Family Therapist
  • Torrington, CT
National Provider Identifier
1811241391
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001677 Issued in CT
Practice address
990 Migeon Ave
Torrington, CT 06790
Phone
(607) 261-0919
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001602 NY
Marriage & Family Therapist 106H00000X 001677 CT Primary

Addresses

Primary practice location

990 Migeon Ave
Torrington, CT 06790

Mailing address

990 Migeon Ave
Torrington, CT 06790
Phone (607) 261-0919

Other practice location 1

950 Danby Rd Ste 127
Ithaca, NY 14850
Phone (607) 261-0919

Other practice location 2

26 Union St
Suite 2
Vernon Rockville, CT 06066-3161
Phone (860) 870-2543

Other practice location 3

121 W. Court St
Ithaca, NY 14850-5731
Phone (607) 261-0919

Other identifiers 1

IdentifierTypeStateIssuer
1811241391MedicaidCT

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
001677CTMDMental Health Counselor
001602NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge Family Center, Inc Single Specialty Past Accepting new patients

Organizations & group practices 1

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": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1811241391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MIGEON AVE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "607-261-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MIGEON AVE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "607-261-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Danby Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "14850",
            "country_code": "US",
            "telephone_number": "607-261-0919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Union St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Vernon Rockville",
            "state": "CT",
            "postal_code": "060663161",
            "country_code": "US",
            "telephone_number": "860-870-2543",
            "fax_number": "860-870-2536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 W. Court St",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505731",
            "country_code": "US",
            "telephone_number": "607-261-0919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001602",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811241391",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.