KM Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KM COUNSELING, LLC

Practice address

324 Elm St Ste 204B
Monroe, CT 06468-2284

Phone

(475) 882-8712

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grace Cullen

Title

Medical Billing Manager

Phone

(203) 368-5515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli McDermott, LCSW

  • Clinical Social Worker
  • Bridgeport, CT
  • NPI 1265803472
  Medicare reassignment NPD

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1033761200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ELM ST STE 204B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682284",
            "telephone_number": "475-882-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ELM ST STE 204B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682284",
            "telephone_number": "475-882-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "203-368-5515"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069985",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen H. Brody, MD, LLC
• Kelley M Kendall, LCSW
• Leslie Yazluk Kerwin, RPH
• Key Therapy LLC
• Hee Soo Kim
• David M Knaus, DDS
• Rowena M. Korczeniewski, FNP-BC
• Daniel Kreiner, LMSW
• Micaela Earle Kwochka, PA-S
• L Burke LLC (Authentic Path Counseling)

• Clinical Social Worker in Monroe, CT
• Providers in Monroe, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.