Active NPIIndividual provider

Ms. Mari Jo Macinnis, LMFT

Marriage & Family Therapist in Waterford, Connecticut

NPI Number1083787329
Practice location
163 Boston Post Road Suite 384, Waterford, CT 06385
Fax
860-444-8776
Last updated
July 8, 2007

Mari Jo Macinnis is a Marriage & Family Therapist based in Waterford, CT. Mari Jo Macinnis practices in Waterford, CT and has the professional credentials of LMFT. The NPI Number for Mari Jo Macinnis is 1083787329 and holds a License No. 000917 (CT). The current practice location address for Mari Jo Macinnis is 163 Boston Post Road Suite 384, Waterford, CT 06385 and can be reached out via phone at 860-444-8774 and via fax at 860-444-8776.

Provider Profile Details

NPI Number
1083787329
Provider Name
Mari Jo Macinnis
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
163 Boston Post Road Suite 384, Waterford, CT 06385
Phone Number
860-444-8774
Fax Number
860-444-8776
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Boston Post Road Suite 384
Waterford, CT 06385
Zip
06385
Phone Number
860-444-8774
Fax Number
860-444-8776
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
163 Boston Post Road Suite 384
Po Box 328
Waterford, CT 06385
City
Waterford
State
CT
Zip
06385
Phone Number
860-444-8774
Fax Number
860-444-8776

License Information

License Number
000917
License State
CT
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Mari Jo Macinnis, LMFT?

The NPI number of Ms. Mari Jo Macinnis, LMFT is 1083787329. It was assigned on November 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Mari Jo Macinnis, LMFT?

Ms. Mari Jo Macinnis, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 000917.

Where does Ms. Mari Jo Macinnis, LMFT practice?

The practice location is 163 Boston Post Road Suite 384, Waterford, CT 06385. The office can be reached at 860-444-8774 (phone) or 860-444-8776 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083787329 directly on the NPPES registry website.

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