Active NPI
Yevgenia Kochian, LPC
- Professional Counselor
- Bridgeport, CT
National Provider Identifier
1386335693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6341
- Practice address
- 1126 Main St
Bridgeport, CT 06604-4404 - Phone
- (203) 331-1503
- Fax
- (203) 367-7576
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6341 | CT | Primary |
Addresses
Primary practice location
1126 Main St
Bridgeport, CT 06604-4404
Mailing address
199 Bronson Rd
Southport, CT 06890-1201
Phone (203) 521-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6341 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1386335693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 BRONSON RD",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901201",
"telephone_number": "203-521-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044404",
"telephone_number": "203-331-1503",
"fax_number": "203-367-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHIAN",
"first_name": "YEVGENIA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "6341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.