Active NPI
Kelly Dehart Lydiksen, LMFT-A
- Marriage & Family Therapist
- Old Saybrook, CT
National Provider Identifier
1871446880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3807
- Practice address
- 322 Main St
Old Saybrook, CT 06475-2350 - Phone
- (860) 395-3190
- NPI assigned
- Feb 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3807 | CT | Primary |
Addresses
Primary practice location
322 Main St
Old Saybrook, CT 06475-2350
Mailing address
6 Bevin Ave
East Hampton, CT 06424-1201
Other practice location 1
59 Lyme St
Old Lyme, CT 06371-2359
Phone (860) 434-7208
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3807 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lymes' Youth Service Bureau | Single Specialty | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1871446880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BEVIN AVE",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "064241201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 MAIN ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752350",
"telephone_number": "860-395-3190"
}
],
"practiceLocations": [
{
"address_1": "59 Lyme St",
"address_purpose": "LOCATION",
"city": "Old Lyme",
"state": "CT",
"postal_code": "063712359",
"country_code": "US",
"telephone_number": "860-434-7208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYDIKSEN",
"first_name": "KELLY",
"middle_name": "DEHART",
"credential": "LMFT-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "3807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.