Individual provider Active NPI

Kimberly Ann Pascale

  • Addiction (Substance Use Disorder) Counselor
  • Hartford, CT
National Provider Identifier
1093482994
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001228 Issued in CT
Practice address
16 18 Weston St
Hartford, CT 06120
Phone
(860) 527-5100
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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 001228 CT Primary

Addresses

Primary practice location

16 18 Weston St
Hartford, CT 06120

Mailing address

26 Meadow LN
Windsor Locks, CT 06096-1363
Phone (860) 604-1432

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
I20240820002710 CT Practitioner - Mental Health Counselor 9537607684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1228CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Dispensary CurrentSince Jul 17, 2024 Accepting new patients

Locations

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1093482994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MEADOW LN",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060961363",
            "telephone_number": "860-604-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 18 WESTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06120",
            "telephone_number": "860-527-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCALE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.