Individual provider Active NPI

Kennyshka Kouwenhoven, LPC

  • Professional Counselor
  • Griswold, CT
National Provider Identifier
1376399246
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7481 Issued in CT
Practice address
70 Main St
Griswold, CT 06340
Phone
(860) 469-0508
NPI assigned
Apr 30, 2024
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7481 CT Primary

Addresses

Primary practice location

70 Main St
Griswold, CT 06340

Mailing address

14 Brookside LN
Groton, CT 06340-4302
Phone (860) 800-4256

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240822000826 CT Practitioner - Mental Health Counselor 9830638865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life's Journey Counseling LLCGroup PAC ID 6507208758, 5 clinicians

Practice addresses (Care Compare)

70 Main St
Jewett City, CT 06351-2226
Phone (860) 634-0967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7481CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Professional CurrentSince Jul 15, 2024 Accepting new patients
Life's Journey Counseling LLC Mental Health CurrentSince Jul 18, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jan 1, 2026 Accepting new patients

Locations

100 Pearl St
Hartford, CT 06103
Phone (844) 437-7924

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1376399246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BROOKSIDE LN",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404302",
            "telephone_number": "860-800-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "GRISWOLD",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-469-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUWENHOVEN",
        "first_name": "KENNYSHKA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "7481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griswold, CT

Sources for this page

Verify at the official NPI Registry.