Active NPI
Dian Clair Ferguson, M.E.D
- Mental Health Counselor
- West Hartford, CT
National Provider Identifier
1952012759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5939
- Practice address
- 229 Quaker LN S Apt 3
West Hartford, CT 06119-1940 - Phone
- (860) 899-5366
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5939 | CT | Primary |
Addresses
Primary practice location
229 Quaker LN S Apt 3
West Hartford, CT 06119-1940
Mailing address
229 Quaker LN S Apt 3
West Hartford, CT 06119-1940
Phone (860) 899-5366
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001 | Other | CT | LPC/A CERTIFICATION |
| EIN | Other | CT | 85-3923925 |
| 5939 | Other | CT | LPC/A CERTIFICATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | URL | Health Information Exchange (HIE) |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5939 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1952012759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 QUAKER LN S APT 3",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191940",
"telephone_number": "860-899-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 QUAKER LN S APT 3",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191940",
"telephone_number": "860-899-5366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "DIAN",
"middle_name": "CLAIR",
"credential": "M.E.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "5939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC/A CERTIFICATION",
"identifier": "0001",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "85-3923925",
"identifier": "EIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC/A CERTIFICATION",
"identifier": "5939",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "URL",
"affiliation": "N",
"endpointDescription": "Health Information",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "229 Quaker Ln S Apt 3",
"city": "West Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061191940",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.