Individual provider Active NPI

Nathan David Carpenter, LMFT

  • Marriage & Family Therapist
  • Ridgefield, CT
National Provider Identifier
1881084945
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001199 Issued in CT
Practice address
9 Bryon Ave
Ridgefield, CT 06877-4410
Phone
(860) 388-7838
NPI assigned
Jan 28, 2015
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 001199 CT Primary

Addresses

Primary practice location

9 Bryon Ave
Ridgefield, CT 06877-4410

Mailing address

9 Bryon Ave
Ridgefield, CT 06877-4410
Phone (860) 388-7838

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
I20240712002112 CT Practitioner - Marriage and Family Therapist 5294270369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgefield Youth Service Bureau IncGroup PAC ID 1658816723, 2 clinicians

Practice addresses (Care Compare)

66 Prospect St
Ridgefield, CT 06877-4621
Phone (860) 388-7838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001199CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgefield Youth Service Bureau Inc Marriage & Family Therapist CurrentSince Apr 23, 2024 Accepting new patients

Locations

66 Prospect St
Ridgefield, CT 06877
Phone (203) 409-1760

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1881084945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRYON AVE",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774410",
            "telephone_number": "860-388-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRYON AVE",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774410",
            "telephone_number": "860-388-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "NATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.