Heather Susan Jones, L.M.F.T
Individual provider Active NPI Marriage & Family Therapist · Woodbury, CT
NPI 1821173451 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1821173451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 001074 (CT)
- Practice address
- 787 Main St S Unit a-5
Woodbury, CT 06798-3741 - Phone
- (203) 903-9712
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001074 | CT | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001074 | CT | Yes |
Addresses
Primary practice location
787 Main St S Unit a-5
Woodbury, CT 06798-3741
Mailing address
787 Main Street South
Suite A5
Woodbury, CT 06798
Phone (203) 903-9712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPHP008441 | Medicaid | CT |
Other names
- Mrs. Heather Susan Hanlon
Other providers in Woodbury, CT
- James S Bauer DMD Incorporated
- JD Psychological Services, PC
- Jennifer Giustra-Kozek LPC LLC
- JMP Therapy LLC
- John Louis Renzulli
- Kelly Palchik DMD, PC
- Kelly Tarascio LCSW
- Kenneth L. Burke, O.D.
- Kevin Moshier LCSW LLC
- Lana Lachance LLC
All providers in Woodbury, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.