Active NPI
Karsten Hultquist
- Mental Health Counselor
- Tolland, CT
National Provider Identifier
1154028975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5785
- Practice address
- 392 Merrow Rd Ste E
Tolland, CT 06084-3974 - Phone
- (860) 830-7838
- NPI assigned
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5785 | CT | Primary |
Addresses
Primary practice location
392 Merrow Rd Ste E
Tolland, CT 06084-3974
Mailing address
392 Merrow Rd Ste E
Tolland, CT 06084-3974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19242485 | Other | CT | PRIVATE PRACTICE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Ocd Institute, LLC | Mental Health | Current | Accepting new patients |
| Behavioral Wellness Clinic | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1154028975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 MERROW RD STE E",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 MERROW RD STE E",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843974",
"telephone_number": "860-830-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULTQUIST",
"first_name": "KARSTEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "5785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PRACTICE",
"identifier": "19242485",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tolland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.