Individual provider Active NPI

Jennifer F Thomasson, LPC

  • Professional Counselor
  • Ledyard, CT
National Provider Identifier
1902322282
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3263 Issued in CT
Practice address
764 Colonel Ledyard Hwy Unit 204
Ledyard, CT 06339-7012
Phone
(860) 961-2995
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3263 CT Primary

Addresses

Primary practice location

764 Colonel Ledyard Hwy Unit 204
Ledyard, CT 06339-7012

Mailing address

764 Colonel Ledyard Hwy Unit 204
Ledyard, CT 06339-7012

Other names 1

  • Jennifer F White Former name

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

LicenseStateTypeSpecialty
3263CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pieced Together Therapeutic Associates, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

764 Colonel Ledyard Hwy
Unit 204
Ledyard, CT 06339
Phone (860) 961-2995

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1902322282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 COLONEL LEDYARD HWY UNIT 204",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063397012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 COLONEL LEDYARD HWY UNIT 204",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063397012",
            "telephone_number": "860-961-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSON",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WHITE",
            "middle_name": "F",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ledyard, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.