KAYLA NICKERSON GAUTHIER (NPI# 1922554120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922554120 |
| Entity Type | Individual |
| Full Name | KAYLA NICKERSON GAUTHIER |
| Credential | LMFT |
| Practice Address |
41 Williams Ave Mystic CT 06355 |
| Mailing Address |
140 Ross Hill Rd Lisbon CT 06351-2824 |
| Practice Telephone | 8609615702 |
| Mailing Telephone | 8603738802 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 1832 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18 Oneco St Suite 3, Norwich, CT 06360 | 8603738802 | |
| 204 Sturtevant St Ste 1, Norwich, CT 063602246 | 8603738802 | |
| 83 Town St, Norwich, CT 063602323 | 8603738802 |
| Street Address |
41 WILLIAMS AVE |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| 1295841682 | Annette Lupinacci Headley | Dermatology | 56 Whitehall Avenue, Mystic, CT 06355 | 2006-08-21 |
| Find all providers in zip 06355 | ||||
| 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 |
|---|---|---|---|---|
| 1568775450 | Danielle Drugan | Marriage & Family Therapist | 49 Whitehall Ave, Mystic, CT 06355-1966 | 2010-07-20 |
| 1821156589 | Kathrine Lynn Kennedy | Marriage & Family Therapist | 34 Water St Ste 2b, Mystic, CT 06355-2524 | 2006-12-05 |
| 1265042956 | Daniel Salvatore LLC | Marriage & Family Therapist | 49 Whitehall Ave, Mystic, CT 06355-1966 | 2020-08-06 |
| 1609265529 | Jean Allbee-roberson Lmft LLC | Marriage & Family Therapist | 11 Main St, Suite 19, Mystic, CT 06355-3654 | 2015-01-15 |
| 1598105595 | Dialect Pyschotherapy Inc. | Marriage & Family Therapist | 12 Roosevelt Ave, Mystic, CT 06355-2809 | 2013-07-05 |
| 1043517733 | Mystic Therapy, LLC. | Marriage & Family Therapist | 49 Whitehall Ave, Mystic, CT 06355-1966 | 2011-02-16 |
| 1205138161 | Susanne G Taylor | Marriage & Family Therapist | 12 Roosevelt Ave, Mystic, CT 06355-2809 | 2010-11-29 |
| 1164692398 | Jean E Allbee-roberson | Marriage & Family Therapist | 11 Main St, Suite 8, Mystic, CT 06355-3654 | 2008-03-04 |
| 1700930211 | Janet A. Noyes | Marriage & Family Therapist | 12 Roosevelt Ave, Suite 203, Mystic, CT 06355-2809 | 2007-01-22 |
| 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.