Individual provider Active NPI

Kimberly Alicia Hricz, LPC, LADC

  • Professional Counselor
  • Ansonia, CT
National Provider Identifier
1346870524
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002687 Issued in CT
Practice address
435 E Main St
Ansonia, CT 06401-1964
Phone
(203) 892-6357
Fax
(203) 751-9688
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002687 CT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001345 CT

Addresses

Primary practice location

435 E Main St
Ansonia, CT 06401-1964

Mailing address

435 E Main St
Ansonia, CT 06401-1964
Phone (203) 892-6357

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khricz@bhcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001345CTMDAddiction (Substance Use Disorder) Counselor
002687CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Network of Programs, Inc. PastSince Jan 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1346870524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-892-6357",
            "fax_number": "203-751-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-892-6357",
            "fax_number": "203-751-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRICZ",
        "first_name": "KIMBERLY",
        "middle_name": "ALICIA",
        "credential": "LPC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002687",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khricz@bhcare.org",
            "affiliation": "N",
            "address_1": "435 E Main St",
            "city": "Ansonia",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064011964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.