Individual provider Active NPI

Judith G Williams, LMFT

  • Marriage & Family Therapist
  • New London, CT
National Provider Identifier
1821200924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000793 Issued in CT
Practice address
5 Shaws CV
Suite 207
New London, CT 06320-4974
Phone
(860) 440-3008
Fax
(860) 440-3021
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

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 000793 CT Primary

Addresses

Primary practice location

5 Shaws CV
Suite 207
New London, CT 06320-4974

Mailing address

22 Willow LN
East Lyme, CT 06333-1526
Phone (860) 440-3008

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
I20240226000446 CT Practitioner - Marriage and Family Therapist 2163867557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Behavioral Health Assoc PCGroup PAC ID 4385532373, 38 clinicians

Practice addresses (Care Compare)

41 Faire Harbour PL
New London, CT 06320-4710
Phone (860) 437-6914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000793CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Behavioral Health Assoc, P.C. Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

616 Gold Star Hwy
Groton, CT 06340
Phone (860) 449-0020

41 Faire Harbour Pl
New London, CT 06320
Phone (860) 437-6914

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821200924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILLOW LN",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331526",
            "telephone_number": "860-440-3008",
            "fax_number": "860-440-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHAWS CV",
            "address_2": "SUITE 207",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204974",
            "telephone_number": "860-440-3008",
            "fax_number": "860-440-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUDITH",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.