MR. JOHN D. BERUBE LMFT
NPI 1053522698
Marriage & Family Therapist in Fairfield, CT

Active since May 25, 2007Opted out of Medicare · through Jan 31, 2027
61 BUENA VISTA RD, FAIRFIELD, CT 06825(203) 374-9077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. John D. Berube Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN D. BERUBE LMFT (NPI 1053522698) is an individual marriage & family therapist in Fairfield, Connecticut, licensed in Connecticut (000848) and active in the NPI registry since May 2007. He has opted out of Medicare through January 31, 2027.

NPPES Registry Identity

NPI1053522698
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JOHN D. BERUBECredential: LMFT
Location Address61 BUENA VISTA RDFairfield, CT 06825-1677
Mailing Address61 Buena Vista RdFairfield, CT 06825-1677 · (203) 374-9077
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053522698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CT · 000848
Definition

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.

61 BUENA VISTA RD, Fairfield, CT 06825

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. John D. Berube Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2025 through January 31, 2027.

Opt-Out Effective DateJanuary 31, 2025
Opt-Out In Effect ThroughJanuary 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Berube's NPI number?

The NPI number for John Berube is 1053522698. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is John Berube located?

John Berube practices at 61 Buena Vista Rd, Fairfield, CT 06825. The listed phone number is (203) 374-9077.

What is John Berube's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is John Berube enrolled in Medicare?

No. John Berube has opted out of Medicare through January 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Berube was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.