Organization Active NPI

KP Therapy & Consulting

  • Community/Behavioral Health Agency
  • Fairfield, CT
National Provider Identifier
1194459339
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KP THERAPY & CONSULTING
Practice address
54 Miller St
Fairfield, CT 06824-5925
Phone
(203) 339-2546
NPI assigned
Jul 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Kara Ann Pacewicz, MA, LPCNPI 1578029922
Title
Licensed Professional Counselor
Phone
(203) 339-2546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

54 Miller St
Fairfield, CT 06824-5925

Mailing address

11 Williams Rd
Monroe, CT 06468-1029
Phone (203) 339-2546

Other identifiers 1

IdentifierTypeStateIssuer
4511OtherCTLICENSED PROFESSIONAL COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://kpcounseling.clientsecure.me/ Direct

National Provider Directory

National Provider Directory

Locations

54 Miller St
Fairfield, CT 06824
Phone (203) 339-2546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1194459339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WILLIAMS RD",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681029",
            "telephone_number": "203-339-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245925",
            "telephone_number": "203-339-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP THERAPY & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PACEWICZ",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "203-339-2546",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "4511",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://kpcounseling.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Secure Client Portal - Simple Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client Portal",
            "address_1": "54 Miller St",
            "city": "Fairfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068245925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.