Individual provider Active NPI

Kristine Kumpf, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Norwalk, CT
National Provider Identifier
1265447148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000182 Issued in CT
Practice address
9 Mott Ave
Family & Children'S Agency 4TH Floor
Norwalk, CT 06850-3330
Phone
(203) 855-8765
Fax
(203) 838-3325
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000182 CT Primary

Addresses

Primary practice location

9 Mott Ave
Family & Children'S Agency 4TH Floor
Norwalk, CT 06850-3330

Mailing address

9 Mott Ave
Family & Children'S Agency 4TH Floor
Norwalk, CT 06850-3330
Phone (203) 855-8765

Other identifiers 1

IdentifierTypeStateIssuer
300000182CT01OtherCTANTHEM PROVIDER #

Other names 1

  • Kristine Marie Kumpf Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000182CTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265447148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "address_2": "FAMILY & CHILDREN'S AGENCY 4TH FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-855-8765",
            "fax_number": "203-838-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "address_2": "FAMILY & CHILDREN'S AGENCY 4TH FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-855-8765",
            "fax_number": "203-838-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMPF",
        "first_name": "KRISTINE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "300000182CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "KUMPF",
            "middle_name": "MARIE",
            "credential": "LADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.