KELLY SUSAN ROBERGE (NPI# 1730301011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730301011 |
| Entity Type | Individual |
| Full Name | KELLY SUSAN ROBERGE |
| Credential | LMFT |
| Practice Address |
20 Maple Ave. Uncasville CT 06382 |
| Mailing Address |
15 Beckwith Rd. Oakdale CT 06370 |
| Practice Telephone | 8608483098 |
| Mailing Telephone | 8602353511 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 001170 | CT | Behavioral Health & Social Service Providers |
| Street Address |
20 MAPLE AVE. |
| City | UNCASVILLE |
| State | CT |
| Zip Code | 06382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336934 | Saqib Inayatullah | Internal Medicine | 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 | 2007-06-27 |
| 1427172543 | Madeleine Sherwood Lefker | Speech-Language Pathologist | 303 Norwich New London Tpke., Uncasville, CT 06382 | 2007-03-16 |
| 1245385426 | Community Therapeutix PC | Acupuncturist | 88 Norwich New London Turnpike, Suite 1, Uncasville, CT 06382 | 2007-01-25 |
| 1619031796 | Southeastern Ct Nephrology Assoc PC | Internal Medicine | 88 Norwich New London Tpk, Suite 2, Uncasville, CT 06382 | 2006-12-21 |
| 1598833725 | Orchard Grove Specialty Care Center | Nursing Facility/Intermediate Care Facility | 5 Richard Brown Drive, Uncasville, CT 06382 | 2006-12-04 |
| 1659459584 | Rachel Elizabeth Vitello | Occupational Therapist | 303 Norwich New London Turnpike, Uncasville, CT 06382 | 2006-11-01 |
| 1093739310 | Regina Ann Strand | Optometrist | 2020 Norwich New London Turnpike, Unit 8, Uncasville, CT 06382 | 2006-07-27 |
| 1225096084 | Ronald Miner Hughes | Social Worker | 20 Maple Ave, Montville, CT 06382 | 2006-05-02 |
| 1184690703 | Peter S Hahn | Internal Medicine | 2020 Norwich New London Tpke Ste 12, Uncasville, CT 06382 | 2006-02-24 |
| 1922595222 | Mallory Muzykoski | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382 | 2018-04-23 |
| Find all providers in zip 06382 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | UNCASVILLE |
| Zip Code | 06382 |
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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.