Individual provider Active NPI

Theanvy Kuoch

  • Professional Counselor
  • West Hartford, CT
National Provider Identifier
1083997845
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000638 Issued in CT
Practice address
1125 New Britain Avenue
Suite 202
West Hartford, CT 06110-2440
Phone
(860) 561-3345
Fax
(860) 561-3538
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 000638 CT Primary

Addresses

Primary practice location

1125 New Britain Avenue
Suite 202
West Hartford, CT 06110-2440

Mailing address

1125 New Britain Avenue
Suite 202
West Hartford, CT 06110-2440
Phone (860) 561-3345

Other names 1

  • Theanvy Kuoch Professional name

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

State licenses

LicenseStateTypeSpecialty
000638CTMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1083997845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NEW BRITAIN AVENUE",
            "address_2": "SUITE 202",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102440",
            "telephone_number": "860-561-3345",
            "fax_number": "860-561-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NEW BRITAIN AVENUE",
            "address_2": "SUITE 202",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102440",
            "telephone_number": "860-561-3345",
            "fax_number": "860-561-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUOCH",
        "first_name": "THEANVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEANVY",
            "last_name": "KUOCH",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.