Nancy G Kahn, MSW

Individual provider Active NPI Mental Health Counselor · Canaan, CT

NPI 1205930799 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1205930799
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
003389 (CT)
Practice address
117 Main St
Canaan, CT 06018-2463
Phone
(860) 824-1350
Fax
(413) 229-3334
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

151 Front St
Housatonic, MA 01236-0092
Phone (413) 274-6039

95 Main St
Canaan, CT 06018-2463
Phone (860) 824-1350

PO Box
653 95 Main Street
Canaan, CT 06018-0653

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CT, MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040706000535 CT Practitioner - Clinical Social Worker 5395722516 Practice locations: Canaan, CT
I20051014000454 MA Practitioner - Clinical Social Worker 5395722516 Practice locations: Housatonic, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1023143MAMDMental Health Counselor
003389CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy G Kahn Mental Health Current
since Jun 23, 2022
Accepting new patients
Northwest Center for Family Service and Mental Health, Inc. Past Accepting new patients
Collaborative Endeavors, LLC Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003389 CT Yes
Mental Health Counselor 101YM0800X 1023143 MA

Addresses

Primary practice location

117 Main St
Canaan, CT 06018-2463

Mailing address

PO Box 653
Canaan, CT 06018-0653
Phone (860) 824-1350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205930799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060180653",
            "telephone_number": "860-824-1350",
            "fax_number": "413-229-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN ST",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182463",
            "telephone_number": "860-824-1350",
            "fax_number": "413-229-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "NANCY",
        "middle_name": "G",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003389",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1023143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canaan, CT

All providers in Canaan, CT · Mental Health Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.