Individual provider Active NPI

Karen M Keefe Colt, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, CT
National Provider Identifier
1114151677
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000873 Issued in CT
Practice address
935 Main St
Manchester, CT 06040-6059
Phone
(860) 647-2929
Fax
(860) 647-2932
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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 000873 CT Primary

Addresses

Primary practice location

935 Main St
Manchester, CT 06040-6059

Mailing address

20 Hartford Rd
Manchester, CT 06040-5973
Phone (860) 643-2701

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
000873CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Manor, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karenm.colt@xdr.hhchealthdirect.org

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1114151677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405973",
            "telephone_number": "860-643-2701",
            "fax_number": "860-647-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406059",
            "telephone_number": "860-647-2929",
            "fax_number": "860-647-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE COLT",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.