Magnolia Counseling LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000724 Issued in CT

Legal business name

MAGNOLIA COUNSELING LLC

Practice address

11 High St Ste 202
Suffield, CT 06078-2125

Phone

(860) 668-1444

Fax

(860) 668-1446

NPI assigned

Sep 27, 2013

Last updated

Dec 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Davenport, LMFTNPI 1689942336

Title

Licensed Marital & Family Therapist

Phone

(860) 668-1444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Anna Catherine Davenport, LMFT

  • Marriage & Family Therapist
  • Suffield, CT
  • NPI 1689942336
  Authorized official Same address or phone

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702684800000",
    "number": "1922435593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HIGH ST STE 202",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782125",
            "telephone_number": "860-668-1444",
            "fax_number": "860-668-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HIGH ST STE 202",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782125",
            "telephone_number": "860-668-1444",
            "fax_number": "860-668-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "LICENSED MARITAL & FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-668-1444",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Suffield, CT
• Providers in Suffield, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.