MIDDLESEX WELLNESS & MEDIATION, LLC
NPI 1467815449
Marriage & Family Therapist in Essex, CT

NPI Status: Active since March 29, 2016

Contact Information

80-1 PLAINS RD
ESSEX, CT
ZIP 06426
Phone: (860) 510-6130
Fax: (860) 760-6706

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  • Organization
  • Marriage & Family Therapist
  • CLIA Number: 07D0975138
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-27-2026

About MIDDLESEX WELLNESS & MEDIATION, LLC

This page provides the complete NPI Profile along with additional information for Middlesex Wellness & Mediation, Llc, a provider established in Essex, Connecticut operating as a Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1467815449 assigned on March 2016. The practitioner's primary taxonomy code is 106H00000X with license number 1806 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. Middlesex Wellness & Mediation, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jacquelynn Russo-boudinot Lmft, Ncc (Owner)

NPI
1467815449
Provider Name
MIDDLESEX WELLNESS & MEDIATION, LLC
Entity Type
Organization
Location Address
80-1 PLAINS RD ESSEX, CT 06426
Location Phone
(860) 510-6130
Location Fax
(860) 760-6706
Mailing Address
80-1 PLAINS RD ESSEX, CT 06426
Mailing Phone
(860) 510-6130
Mailing Fax
(860) 760-6706
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2016
Last Update Date
03-29-2016
Code Navigator

A marriage and family therapist like Middlesex Wellness & Mediation, Llc help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
1806
License State
CT
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACQUELYNN RUSSO-BOUDINOT LMFT, NCC

Authorized Official Title
OWNER
Authorized Official Phone
(860) 510-6130

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D0975138
Facility Type
Physician Office
Certificate Effective Date
June 28, 2024
Certificate Expiration Date
June 27, 2026
Laboratory Director
LOUISE M. MALONEY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Middlesex Wellness & Mediation, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467815449, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 6 + 1 + 1 + 0 + 4 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1467815449.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Psychologist
80-1 PLAINS RD
ESSEX, CT 06426
Nurse Practitioner (Psychiatric/Mental Health)
80-1 PLAINS RD
ESSEX, CT 06426
Social Worker (Clinical)
80-1 PLAINS RD
ESSEX, CT 06426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467815449, enumerated as an "organization" on March 29, 2016.

The provider is located at 80-1 PLAINS RD ESSEX, CT 06426 and the phone number is (860) 510-6130.

Marriage & Family Therapist with taxonomy code 106H00000X.