NPIMap

Organization Active NPI

Leap of Faith Counseling LLC

  • Marriage & Family Therapist
  • Branford, CT
National Provider Identifier
1902460959
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LEAP OF FAITH COUNSELING LLC
Practice address
1090 Main St
Branford, CT 06405-3716
Phone
(203) 685-0150
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Jessica Palmer, LMFTNPI 1063801777
Title
LMFT/Owner
Phone
(203) 685-0150

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 Primary

Addresses

Primary practice location

1090 Main St
Branford, CT 06405-3716

Mailing address

130 Ruby LN
Stratford, CT 06614-2037

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1902460959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RUBY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053716",
            "telephone_number": "203-685-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP OF FAITH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LMFT/OWNER",
        "authorized_official_telephone_number": "203-685-0150",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.