Organization Active NPI

Jessica Sanderson, LLC

  • Marriage & Family Therapist
  • Hartford, CT
National Provider Identifier
1851731285
Registry record updated Jun 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001368 Issued in CT
Legal business name
JESSICA SANDERSON, LLC
Practice address
682 Prospect Ave
Hartford, CT 06105-4238
Phone
(860) 966-1959
NPI assigned
Jun 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2013

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

Authorized official

Name
Jessica Sanderson, LMFT
Title
Owner
Phone
(860) 966-1959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001368 CT Primary

Addresses

Primary practice location

682 Prospect Ave
Hartford, CT 06105-4238

Mailing address

682 Prospect Ave
Hartford, CT 06105-4238
Phone (860) 966-1959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372464000000",
    "number": "1851731285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054238",
            "telephone_number": "860-966-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054238",
            "telephone_number": "860-966-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA SANDERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-29",
        "last_updated": "2013-06-29",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-966-1959",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2013; 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.