Kimberly A Cognato, LADC, CCDP, CAC,
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wilton, CT
NPI 1063698546 · NPPES record last updated Nov 30, 2016
Key facts
- NPI
- 1063698546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 000799 (CT)
- Practice address
- 372 Danbury Rd
Wilton, CT 06897-2523 - Phone
- (860) 362-5225
- Fax
- (888) 242-2103
- NPI assigned
- Jan 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000799 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 001885 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC1 Healthcare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000799 | CT | Yes |
| Professional Counselor | 101YP2500X | 001885 | CT |
Addresses
Primary practice location
372 Danbury Rd
Wilton, CT 06897-2523
Mailing address
372 Danbury Rd
Wilton, CT 06897-2523
Phone (860) 362-5225
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All providers in Wilton, CT · Addiction (Substance Use Disorder) Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.