Kristen Marie Finneran, LPC, RECOVERY COACH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003727 Issued in CT

Practice address

2800 Main Street
Tradisng Spaces ABA, LLC Attn: Kristen M Finneran
Glastonbury, CT 06033

Phone

(203) 417-6919

NPI assigned

Apr 19, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Health and Wellness Solutions of CT, LLC

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1114479888
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1013570662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN STREET TRADING SPACES ABA, LLC",
            "address_2": "KRISTEN M FINNERAN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060336029",
            "telephone_number": "203-417-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN STREET",
            "address_2": "TRADISNG SPACES ABA, LLC ATTN: KRISTEN M FINNERAN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "203-417-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Dixwell Ave. Suite 202b",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065180651",
            "country_code": "US",
            "telephone_number": "203-400-1884",
            "fax_number": "203-651-1462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINNERAN",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "LPC, RECOVERY COACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fig Health Pediatrics LLC
• Thomas Charles Filloramo, CEAP, LPC, LADC
• Filloramowellness Consulting LLC
• Hugh E Finch Jr., DDS
• Lynne M Finnegan-Bailey, LPC
• Caryn Marie Fins, OTRL
• Olivia Fiori, RN
• Patricia Rose Fitzgerald, PH.D.
• Andrew W Fitzsimons, DC
• Heather Flynn, PH.D.

• Mental Health Counselor in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.