Kristine Fernerud, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4079 Issued in CT

Practice address

77 Legend Hill Rd
Madison, CT 06443-1877

Phone

(860) 550-0503

NPI assigned

Jan 16, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1174153381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 LEGEND HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431877",
            "telephone_number": "860-550-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 LEGEND HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431877",
            "telephone_number": "860-550-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNERUD",
        "first_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Richer Fanelli, PH.D.
• Katherine Elizabeth Farnsworth, PA-C
• Lucy Kaitlyn Faulkner, MA
• John Vincent Federico, M.D.
• Heather Feiner, ATC/LAT
• Sarah Kate Ferrigno
• Sandra Elaine Ferrucci, LCSW
• Kristina Fitch, MS, LPC
• Cole Fitzpatrick
• Dia B Flanagan, M.D.

• Professional Counselor in Madison, CT
• Providers in Madison, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.