Active NPI
Jennifer F Thomasson, LPC
- Professional Counselor
- Ledyard, CT
National Provider Identifier
1902322282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3263
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 3263 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pieced Together Therapeutic Associates, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Ledyard, CT
- NPI 1235658311
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.