Kevin Flynn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5448 Issued in CT

Practice address

24 Colby Dr
East Hartford, CT 06108-1414

Phone

(860) 833-3008

NPI assigned

Jan 19, 2022

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agape Services LLC

  • Professional Counselor
  • East Hartford, CT
  • NPI 1003699323
  NPD Authorized official
• Centerpiece Behavioral Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yalesville, CT
  • NPI 1134639065

  Professional

  NPD (past)
• Kerith Brook CFC

  • Clinic/Center
  • Mansfield Center, CT
  • NPI 1932851102
  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1124770300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COLBY DR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COLBY DR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081414",
            "telephone_number": "860-833-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Church Street",
            "address_2": "Suite 4L",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "06492",
            "country_code": "US",
            "telephone_number": "203-678-4946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "KEVIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Fischer, MD
• Shamarie Lynn Fisher
• Amelia Flater, PA-C
• Glenda Teresa Flores de Custer
• Vanessa J Flores, LCSW
• Cathryn A Fogel, M.D.
• Sharon Fong, APRN
• Nicole Forastiere, LCSW
• Angela Forbes
• Malcolm Forbes, LCSW

• Professional Counselor in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.