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MICHELE CONKLIN LMFT
NPI 1063880177
Marriage & Family Therapist in Ridgefield, CT

Active since September 04, 2015Opted out of Medicare · through Feb 1, 2027
2 MOUNTAIN VIEW AVE, RIDGEFIELD, CT 06877(424) 281-7209 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michele Conklin Lmft NPPES

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

MICHELE CONKLIN LMFT (NPI 1063880177) is an individual marriage & family therapist in Ridgefield, Connecticut, licensed in California (MFC 83523) and active in the NPI registry since September 2015. She has opted out of Medicare through February 1, 2027.

NPPES Registry Identity

NPI1063880177
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMICHELE CONKLINCredential: LMFT
Location Address2 MOUNTAIN VIEW AVERidgefield, CT 06877-4010
Mailing Address2 Mountain View AveRidgefield, CT 06877-4010 · (424) 281-7209
Phone(424) 281-7209
Sole ProprietorYes
Enumeration DateSeptember 4, 2015
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1063880177 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 CA · MFC 83523
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.
2 MOUNTAIN VIEW AVE, Ridgefield, CT 06877
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michele Conklin 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 February 1, 2025 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2025
Opt-Out In Effect ThroughFebruary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONKLIN THERAPY COLLECTIVE
Clinic/Center (Adult Mental Health)
2 MOUNTAIN VIEW AVE
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (424) 281-7209

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 Michele Conklin's NPI number?

The NPI number for Michele Conklin is 1063880177. It was assigned to this individual provider in the NPPES registry on September 4, 2015.

Where is Michele Conklin located?

Michele Conklin practices at 2 Mountain View Ave, Ridgefield, CT 06877. The listed phone number is (424) 281-7209.

What is Michele Conklin's specialty?

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

Is Michele Conklin enrolled in Medicare?

No. Michele Conklin has opted out of Medicare through February 1, 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 Michele Conklin was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.