Individual provider Active NPI

Alexis Marie Relyea-Niemann

  • Marriage & Family Therapist
  • Avon, CT
National Provider Identifier
1922356302
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
45 W Main St
Avon, CT 06001-3791
Phone
(860) 313-1119
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

45 W Main St
Avon, CT 06001-3791

Mailing address

45 W Main St
Avon, CT 06001-3791
Phone (860) 313-1119

Other names 1

  • Alexis Marie Relyea Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502002928 CT Practitioner - Marriage and Family Therapist 4486171410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LTS Counseling, LLC CurrentSince Jan 5, 2025 Accepting new patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Mar 28, 2025 Accepting new patients
The Bridge Family Center, Inc CurrentSince May 28, 2023 Accepting new patients

Locations

45 W Main St
Avon, CT 06001
Phone (860) 313-1119

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

10 Station St
Ste 208
Simsbury, CT 06070
Phone (860) 264-5868

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1922356302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013791",
            "telephone_number": "860-313-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013791",
            "telephone_number": "860-313-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELYEA-NIEMANN",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "RELYEA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.