Individual provider Active NPI

Kathy Ann Pjura, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Norwalk, CT
National Provider Identifier
1073083358
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
010391 Issued in CT
Practice address
9 Mott Ave
Norwalk, CT 06850-3330
Phone
(203) 523-5793
Fax
(203) 286-0035
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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 010391 CT Primary

Addresses

Primary practice location

9 Mott Ave
Norwalk, CT 06850-3330

Mailing address

32 Laurelton CT
Milford, CT 06460-3253
Phone (203) 523-5793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190215000425 CT Practitioner - Clinical Social Worker 5799023883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale New Haven HospitalGroup PAC ID 8325935018, 44 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2464

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
98.16
Promoting interoperability
100
Improvement activities
40
Cost
44.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010391CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yale New Haven Hospital CurrentSince Jan 31, 2019 Accepting new patients

Locations

184 Liberty St
New Haven, CT 06519
Phone (203) 688-9704

20 York St
North Haven, CT 06510
Phone (203) 688-2433

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1073083358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LAURELTON CT",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603253",
            "telephone_number": "203-523-5793",
            "fax_number": "203-286-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-523-5793",
            "fax_number": "203-286-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PJURA",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "010391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.