Organization Active NPI

Associates in Kinleining, Inc

  • Professional Counselor
  • Waterbury, CT
National Provider Identifier
1124266069
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000091 Issued in CT
Legal business name
ASSOCIATES IN KINLEINING, INC
Practice address
1215 Thomaston Ave
BLDG B
Waterbury, CT 06704-1731
Phone
(203) 753-0868
Fax
(866) 441-1136
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Jeanette Tedesco
Title
Sole Proprietor
Phone
(203) 753-0868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 000091 CT Primary

Addresses

Primary practice location

1215 Thomaston Ave
BLDG B
Waterbury, CT 06704-1731

Mailing address

1215 Thomaston Ave
BLDG B
Waterbury, CT 06704-1731
Phone (203) 753-0868

National Provider Directory

National Provider Directory

Locations

1215 Thomaston Ave
Ste B
Waterbury, CT 06704
Phone (203) 753-0868

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1124266069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 THOMASTON AVE",
            "address_2": "BLDG B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041731",
            "telephone_number": "203-753-0868",
            "fax_number": "866-441-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 THOMASTON AVE",
            "address_2": "BLDG B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041731",
            "telephone_number": "203-753-0868",
            "fax_number": "866-441-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN KINLEINING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "TEDESCO",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "203-753-0868"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.