Individual provider Active NPI

Jeffrey Farley Kochiss, LMFT

  • Marriage & Family Therapist
  • Cheshire, CT
National Provider Identifier
1962704429
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001297 Issued in CT
Practice address
555 Highland Ave Ste 1
Cheshire, CT 06410-2205
Phone
(203) 437-2161
NPI assigned
Dec 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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 001297 CT Primary

Addresses

Primary practice location

555 Highland Ave Ste 1
Cheshire, CT 06410-2205

Mailing address

555 Highland Ave
Cheshire, CT 06410-2205
Phone (203) 437-2161

Other identifiers 1

IdentifierTypeStateIssuer
004235918MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • 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
I20241104001686 CT Practitioner - Marriage and Family Therapist 8325571920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 Highland Ave
Suite 1
Cheshire, CT 06410-2255
Phone (203) 437-2161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001297CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey F Kochiss LLC Marriage & Family Therapist CurrentSince Sep 24, 2024 Accepting new patients

Locations

555 Highland Ave
Ste 1
Cheshire, CT 06410
Phone (203) 437-2161

Organizations & group practices 1

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": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1962704429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102205",
            "telephone_number": "203-437-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HIGHLAND AVE STE 1",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102205",
            "telephone_number": "203-437-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHISS",
        "first_name": "JEFFREY",
        "middle_name": "FARLEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.