Active NPI
KP Therapy & Consulting
- Community/Behavioral Health Agency
- Fairfield, CT
National Provider Identifier
1194459339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Ann Pacewicz, MA, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4511 | Other | CT | LICENSED PROFESSIONAL COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://kpcounseling.clientsecure.me/ | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Bridgeport, CT
- NPI 1578029922
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.