MS. DIANE SAMUELS (NPI# 1447554183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447554183 |
| Entity Type | Individual |
| Full Name | MS. DIANE SAMUELS |
| Credential | LMFT |
| Practice Address |
12 N Main St Ste 10 West Hartford CT 06107-1936 |
| Mailing Address |
29 Pheasant Chase West Hartford CT 06117 |
| Practice Telephone | 8698410169 |
| Mailing Telephone | 8608410169 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 001410 | CT | Behavioral Health & Social Service Providers |
| Street Address |
12 N MAIN ST STE 10 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| 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 |
|---|---|---|---|---|
| 1013522093 | Ruth L. Jacobson, Ms, Lmft, LLC | Marriage & Family Therapist | 10 N Main St Ste 315, West Hartford, CT 06107-1901 | 2020-09-15 |
| 1154982445 | Revive Family Therapy, LLC | Marriage & Family Therapist | 805 Farmington Ave Ste 1, West Hartford, CT 06119-1671 | 2019-06-26 |
| 1578058178 | Beverly J Thornton | Marriage & Family Therapist | 998 Farmington Ave Ste 201, West Hartford, CT 06107-2187 | 2018-06-26 |
| 1770095630 | Vanessa Y. Ortiz, Lmft, Pllc | Marriage & Family Therapist | 150 Hillcrest Ave Apt B, West Hartford, CT 06110-2263 | 2017-11-01 |
| 1598202285 | Bernice Schaefer | Marriage & Family Therapist | 85 Memorial Rd, Unit 213, West Hartford, CT 06107-2440 | 2017-01-19 |
| 1942676309 | Jennifer Sayler | Marriage & Family Therapist | 125 Dover Rd, West Hartford, CT 06119-1215 | 2015-08-19 |
| 1851784433 | Gordon Baker | Marriage & Family Therapist | 1855 Albany Ave, West Hartford, CT 06117-1702 | 2015-03-06 |
| 1184012767 | Ellery Smith | Marriage & Family Therapist | 11 Dale St, West Hartford, CT 06107-1800 | 2015-01-05 |
| 1881956175 | Aneta Porczak | Marriage & Family Therapist | 45 S Main St Ste 308, West Hartford, CT 06107-2402 | 2012-06-12 |
| 1376829416 | Rachael Dawn Ortiz | Marriage & Family Therapist | 836 Farmington Ave Ste 221b, West Hartford, CT 06119-1505 | 2011-11-02 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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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.