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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1023143 | MA | MD | Mental Health Counselor |
| 003389 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy G Kahn | Mental Health | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Sarah Hoyle
- Shannon Elizabeth Hutchinson
- Kimberly Eileen Jackman
- Bruce D Janelli
- Janet Downes LCSW LLC
- Jessika Jean Kahnle
- Kerry Oneil, LMFT PLLC
- Namuna Kharal
- Dennis J Kobylarz
- Joyce M Kost
All providers in Canaan, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.