Individual provider Active NPI

Carol Ann Therrien, M.S., LMFT

  • Marriage & Family Therapist
  • South Windsor, CT
National Provider Identifier
1821115494
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000619 Issued in CT
Practice address
1750 Ellington Rd
#3
South Windsor, CT 06074-2746
Phone
(860) 478-7702
Fax
(860) 432-1335
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 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 000619 CT Primary

Addresses

Primary practice location

1750 Ellington Rd
#3
South Windsor, CT 06074-2746

Mailing address

307 Cedar Swamp Rd
Coventry, CT 06238-1068
Phone (860) 478-7702

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1821115494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CEDAR SWAMP RD",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381068",
            "telephone_number": "860-478-7702",
            "fax_number": "860-432-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELLINGTON RD",
            "address_2": "#3",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742746",
            "telephone_number": "860-478-7702",
            "fax_number": "860-432-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERRIEN",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.