Kristen Kelly Connolly, LADC, MA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

151.0131969 Issued in VT

Practice address

321 S Main St
Saint Albans, VT 05478-6214

Phone

(802) 730-2531

NPI assigned

Oct 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1245741982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054640504",
            "telephone_number": "802-730-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S MAIN ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786214",
            "telephone_number": "802-730-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "KRISTEN",
        "middle_name": "KELLY",
        "credential": "LADC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0131969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rona L Cohen, LCMHC
• Caitlin Collins
• Linda Ann Collins, M.D.
• Anna Comiskey
• Laura R Companion, LCMHC
• Kaylee Allison Conover, PT, DPT
• Veronica Cook, LCMHC
• Benjamin P Cooke, PAC
• Mark Coons, RPH
• Eugenia Lamet Corbett, M.S., CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.