Organization Active NPI

Northeast Couple and Family Therapy

  • Marriage & Family Therapist
  • Jewett City, CT
National Provider Identifier
1902498918
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NORTHEAST COUPLE AND FAMILY THERAPY
Practice address
39 1/2 Wedgewood Dr Ste 1023
Jewett City, CT 06351-2439
Phone
(860) 497-0024
NPI assigned
Feb 10, 2021
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Diana L Cooke, LMFTNPI 1487908240
Title
Marriage and Family Therapist
Phone
(860) 497-0024

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

39 1/2 Wedgewood Dr Ste 1023
Jewett City, CT 06351-2439

Mailing address

16 Fairway Dr
North Grosvenordale, CT 06255-1251
Phone (401) 290-7216

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcavaliere@counselingsecure.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250512001837 CT Part B Supplier - Clinic/Group Practice 6901323021 Receives reassigned benefits from 1 practitioner
Practice locations: Jewett City, CT

National Provider Directory

National Provider Directory

Locations

39 Wedgewood Dr
Ste 1023
Jewett City, CT 06351
Phone (860) 497-0024

Interoperability endpoints

  • Direct secure messaging: dcavaliere@counselingsecure.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1902498918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAIRWAY DR",
            "city": "NORTH GROSVENORDALE",
            "state": "CT",
            "postal_code": "062551251",
            "telephone_number": "401-290-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 1/2 WEDGEWOOD DR STE 1023",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512439",
            "telephone_number": "860-497-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COUPLE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-497-0024",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcavaliere@counselingsecure.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant e-mail server",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39 1/2 Wedgewood Dr Ste 1023",
            "city": "Jewett City",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063512439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jewett City, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.