Active NPI
Jonathan P. Watts, L.P.C
- Professional Counselor
- Vernon, CT
National Provider Identifier
1912005828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001189
- Practice address
- 220 Hartford Tpke
Vernon, CT 06066-4701 - Phone
- (860) 882-3406
- Fax
- (860) 643-7542
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 001189 | CT | Primary |
Addresses
Primary practice location
220 Hartford Tpke
Vernon, CT 06066-4701
Mailing address
1762 Manchester Rd
Glastonbury, CT 06033-1832
Phone (860) 882-3406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001189 | Other | CT | LPC LICENSE NUMBER |
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 |
|---|---|---|---|
| 001189 | CT | MD | Marriage & Family Therapist |
Interoperability endpoints
- jonathan.watts@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912005828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 MANCHESTER RD",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331832",
"telephone_number": "860-882-3406",
"fax_number": "860-643-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HARTFORD TPKE",
"city": "VERNON",
"state": "CT",
"postal_code": "060664701",
"telephone_number": "860-882-3406",
"fax_number": "860-643-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "JONATHAN",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "L.P.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE NUMBER",
"identifier": "001189",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.