NPIMap

Organization Active NPI

Growth Therapy LLC

  • Marriage & Family Therapist
  • Monroe, CT
National Provider Identifier
1871013219
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01710 Issued in CT
Legal business name
GROWTH THERAPY LLC
Practice address
755 Main St.
Monroe, CT 06468
Phone
(203) 707-1277
NPI assigned
Jun 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Mrs. Kristen Cocchia Dew, LMFTNPI 1952792541
Title
Owner
Phone
(203) 707-1277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 01710 CT Primary

Addresses

Primary practice location

755 Main St.
Monroe, CT 06468

Mailing address

24 Edgewood Ave.
Milford, CT 06460

Other identifiers 1

IdentifierTypeStateIssuer
1952792541MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1871013219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 EDGEWOOD AVE.",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MAIN ST.",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "06468",
            "telephone_number": "203-707-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "DEW",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "COCCHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-707-1277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "01710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952792541",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.