Kayla B Gero, LCSW
Individual provider Active NPI Mental Health Counselor · East Lyme, CT
NPI 1366296154 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1366296154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 13898 (CT)
- Practice address
- 314 Flanders Rd Ste 2D
East Lyme, CT 06333-1727 - Phone
- (860) 629-0029
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20240919001330 | CT | Practitioner - Clinical Social Worker | 2163963000 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13898 | CT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darkness to Dawn Integrative Therapy, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13898 | CT | Yes |
Addresses
Primary practice location
314 Flanders Rd Ste 2D
East Lyme, CT 06333-1727
Mailing address
121 Pautipaug Hill Rd
Baltic, CT 06330-1046
Phone (186) 033-4844
Other providers in East Lyme, CT
- Flanders Pediatrics, LLC
- Brianna Flint
- Travis R Franco
- Kelly Gardner
- Janine Marie Geida
- Lori Goeschel
- Leah M Goric
- Beth S Goulding
- Thomas B Goulding
- Grace K. Grajales
All providers in East Lyme, 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 Apr 16, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.