Michael Hanrahan
Individual provider Active NPI Professional Counselor · Kent, CT
NPI 1386301414 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1386301414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 003688 (CT)
- Practice address
- 62 Carter Road
Kent, CT 06757 - Phone
- (860) 927-3772
- NPI assigned
- Nov 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003688 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medop Behavioral Health Associates PC | Past |
Accepting new patients | |
| High Watch Recovery Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 003688 | CT | Yes |
Addresses
Primary practice location
62 Carter Road
Kent, CT 06757
Mailing address
18 Shortwoods Rd
New Fairfield, CT 06812-3216
Phone (203) 994-6149
Other providers in Kent, CT
- Judilynn Ferlow
- Douglas A Finch
- Lucille France
- Karren J Garrity
- Michele Lynn Gervase
- George Wayne Hetson
- Jill Marla Hetson
- High Watch Recovery Center
- Melissa E Jacobs
- John Thomas Kennedy
All providers in Kent, CT · Professional 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 Nov 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.