Individual provider Active NPI

Kassidy Drennen

  • Marriage & Family Therapist
  • New Britain, CT
National Provider Identifier
1215669338
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3455 Issued in CT
Practice address
370 Linwood St
New Britain, CT 06052-1949
Phone
(860) 224-9113
NPI assigned
Jun 28, 2022
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 3455 CT Primary

Addresses

Primary practice location

370 Linwood St
New Britain, CT 06052-1949

Mailing address

37 Heritage LN
East Hartford, CT 06118-3346
Phone (860) 918-0586

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lindsey.miller@klingberg.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128003621 CT Practitioner - Mental Health Counselor 5991234437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jan 23, 2025 Accepting new patients

Locations

100 Pearl St
Hartford, CT 06103
Phone (860) 969-1463

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1215669338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HERITAGE LN",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183346",
            "telephone_number": "860-918-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LINWOOD ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521949",
            "telephone_number": "860-224-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNEN",
        "first_name": "KASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "3455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lindsey.miller@klingberg.com",
            "affiliation": "N",
            "endpointDescription": "supervisor",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "370 Linwood St # 1949",
            "city": "New Britain",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060521998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.