ANDOVER, HEBRON, MARLBOROUGH YOUTH & FAMILY SERVICES, INC. (NPI# 1801050398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801050398 |
| Entity Type | Organization |
| Organization Name | ANDOVER, HEBRON, MARLBOROUGH YOUTH & FAMILY SERVICES, INC. |
| Practice Address |
25 Pendleton Dr Hebron CT 06248-1525 |
| Practice Telephone | 8602289488 |
| Practice Fax Number | 8602281213 |
| Mailing Telephone | 8602289488 |
| Mailing Fax Number | 8602281213 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | MRS. SARAH KATE EKVALL (CLINICAL DEPARTMENT) |
| Authorized Official Telephone | 8602289488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008064980 | 05 | |
| CT | 004258192 | 05 | |
| CT | 008014267 | 05 |
| Street Address |
25 PENDLETON DR |
| City | HEBRON |
| State | CT |
| Zip Code | 06248-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783364 | Victoria K Deveau | Social Worker | 25 Pendleton Dr, Hebron, CT 06248-1525 | 2019-11-02 |
| 1346525961 | Cheri Anne Rivard-lentz | Marriage & Family Therapist | 25 Pendleton Dr, Hebron, CT 06248-1525 | 2011-10-14 |
| 1902115975 | Megan C. Aldridge | Marriage & Family Therapist | 25 Pendleton Dr, Hebron, CT 06248-1525 | 2010-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275998031 | Hebron Dentistry PC | Dentist | 20a Liberty Drive, Hebron, CT 06248 | 2015-12-22 |
| 1679908925 | Christine M Turcotte | Nurse Practitioner | 21b Liberty Dr, Hebron, CT 06248 | 2013-09-05 |
| 1205180205 | Live Well Coaching Inc | Counselor | 269 Church Street, Hebron, CT 06248 | 2012-10-30 |
| 1881866465 | Myriah Wenona Hinchey | Naturopath | 27 Main Street, Hebron, CT 06248 | 2008-03-24 |
| 1780736389 | Elisa Holmes | Dental Hygienist | 20 Liberty Drive, Hebron, CT 06248 | 2007-01-17 |
| 1013066760 | Staff Mates Inc | Home Health | 5 West Main St, Hebron, CT 06248 | 2007-01-10 |
| 1497804660 | Dorothy S Rideout | Dental Hygienist | 20a Liberty Dr., Hebron, CT 06248 | 2007-01-09 |
| 1841348554 | James Walter Bussiere | Dentist | 20 Liberty Dr, Hebron, CT 06248 | 2007-01-08 |
| 1750444634 | Hebron Family Physicians LLC | Family Medicine | 23 A Liberty Drive, Hebron, CT 06248 | 2006-12-19 |
| 1184090458 | Gregory Anderson | Physical Therapist | 117 Main St, Hebron, CT 06248 | 2015-08-20 |
| Find all providers in zip 06248 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235531740 | Dr. Thomas C. Noyes, Phd | Marriage & Family Therapist | 1503 Jolee Dr, Hebron, KY 41048-9515 | 2014-09-16 |
| 1376792234 | Sandra Louise Plummer | Marriage & Family Therapist | 25 Pendleton Drive, Hebron, CT 06248-1525 | 2008-09-16 |
| 1346525961 | Cheri Anne Rivard-lentz | Marriage & Family Therapist | 25 Pendleton Dr, Hebron, CT 06248-1525 | 2011-10-14 |
| 1902115975 | Megan C. Aldridge | Marriage & Family Therapist | 25 Pendleton Dr, Hebron, CT 06248-1525 | 2010-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294056 | Keyndra Lewis | Marriage & Family Therapist | 116 Courtland Ave, Waterbury, CT 06705-2412 | 2020-10-27 |
| 1619576949 | Ileana Graf | Marriage & Family Therapist | 225 N Main St Ste 301, Bristol, CT 06010-4993 | 2020-10-19 |
| 1013515659 | Where Healing Begins LLC | Marriage & Family Therapist | 674 Prospect Ave Ste 102, Hartford, CT 06105-4288 | 2020-10-15 |
| 1588262810 | Stacie Handel | Marriage & Family Therapist | 859 Kings Hwy E, Fairfield, CT 06825-5421 | 2020-10-09 |
| 1184221566 | Laura Renee Becker | Marriage & Family Therapist | 12 Rock Ridge Rd, Newtown, CT 06470-1809 | 2020-10-08 |
| 1962009803 | Eric Matthew Rutter | Marriage & Family Therapist | 125 Brinsmayd Ave, Stratford, CT 06614-1328 | 2020-10-05 |
| 1275130320 | Jill D Donohue | Marriage & Family Therapist | 353 Mcclintock St, New Britain, CT 06053-2018 | 2020-10-01 |
| 1871100388 | Lp Counseling Services, LLC | Marriage & Family Therapist | 470 James St Ste 7, New Haven, CT 06513-3175 | 2020-09-29 |
| 1639786239 | Dannielle Elizabeth Wright | Marriage & Family Therapist | 1080 Elm St Ste 101, Rocky Hill, CT 06067-1844 | 2020-09-28 |
| 1326655200 | Stephanie Simard | Marriage & Family Therapist | 257 N Washington St, Plainville, CT 06062-1639 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.