Kathleen D Conway, APRN, BC, CS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APRN 002714 Issued in CT

Practice address

20 Woodbine St
Norwalk, CT 06853-1032

Phone

(203) 855-1185

Fax

(203) 854-5121

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By 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

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376643205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WOODBINE ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068531032",
            "telephone_number": "203-855-1185",
            "fax_number": "203-854-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WOODBINE ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068531032",
            "telephone_number": "203-855-1185",
            "fax_number": "203-854-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "KATHLEEN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "APRN, BC, CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "APRN 002714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constellation Home Care LLC
• Constellation School Based Therapy, LLC
• Liane Conte, DO
• Amanda Nicole Conti, PA-C
• Sandra L Contreras Martinez
• Stephanie Coogan
• Wendy E Cooke Horn, HIS
• Carol Lynne Cooper, M.D.
• Diane Miller Corba, RPH
• Kaitlin E Corbo, APRN

• Mental Health Counselor in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Mental Health Counselor in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.