Sotheang Terry Khieu

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

74 East St
Plainville, CT 06062-2367

Phone

(860) 793-4200

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melissa Hoon Therapy and Consulting, LLCGroup PAC ID 9638585375, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sotheang.khieu.p1@direct.wheelerclinic.nextgenshare.com

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.

• Melissa Hoon Therapy and Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newington, CT
  • NPI 1689166910
  Medicare reassignment Care Compare group NPD
• Calming Autumn Counseling LLC

  • Mental Health Counselor
  • Farmington, CT
  • NPI 1033068960
  NPD Authorized official

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1366952889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BOXWOOD LN",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115210",
            "telephone_number": "203-512-1279",
            "fax_number": "203-512-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622367",
            "telephone_number": "860-793-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIEU",
        "first_name": "SOTHEANG",
        "middle_name": "TERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hopkins Kelley, MSW
• Jeffrey Kew
• Key Homes Marketing
• Keyndra Lewis LMFT LLC
• Izaz M. Khan, D.M.D.
• Yuriy Khoma
• Monika E. Kieltyka, FNP
• Megan Squadrito Kiely
• James Kilgus, RPH
• Meggan Ashley Kimball, RN

• Counselor in Plainville, CT
• Providers in Plainville, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.