Individual provider Active NPI

Leonard Alan Kenowitz, PH.D.,LADC

  • Addiction (Substance Use Disorder) Counselor
  • Norwalk, CT
National Provider Identifier
1063615540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
171 Issued in CT
Practice address
71 East Ave
Suite R
Norwalk, CT 06851-4903
Phone
(203) 831-9385
Fax
(203) 866-1509
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 171 CT Primary

Addresses

Primary practice location

71 East Ave
Suite R
Norwalk, CT 06851-4903

Mailing address

28 Wayfaring Rd
Norwalk, CT 06851-1824
Phone (203) 847-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063615540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WAYFARING RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511824",
            "telephone_number": "203-847-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 EAST AVE",
            "address_2": "SUITE R",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514903",
            "telephone_number": "203-831-9385",
            "fax_number": "203-866-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENOWITZ",
        "first_name": "LEONARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.