Individual provider Active NPI

Kacy J Lansing, MA, LPC, NCC

  • Counselor
  • Hamden, CT
National Provider Identifier
1063721710
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2495 Issued in CT
Practice address
2911 Dixwell Ave
Suite 202
Hamden, CT 06518-3195
Phone
(203) 213-7125
NPI assigned
Sep 29, 2010
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2495 CT Primary

Addresses

Primary practice location

2911 Dixwell Ave
Suite 202
Hamden, CT 06518-3195

Mailing address

2911 Dixwell Ave
Suite 202
Hamden, CT 06518-3195
Phone (203) 213-7125

Other identifiers 1

IdentifierTypeStateIssuer
004040655MedicaidCT

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
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Stability Counseling Services, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1063721710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE",
            "address_2": "SUITE 202",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183195",
            "telephone_number": "203-213-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE",
            "address_2": "SUITE 202",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183195",
            "telephone_number": "203-213-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSING",
        "first_name": "KACY",
        "middle_name": "J",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "2495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040655",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.