Kellin Murphy Cavanaugh, LPC
Individual provider Active NPI Professional Counselor · Naugatuck, CT
NPI 1407515430 · NPPES record last updated Dec 17, 2021
Key facts
- NPI
- 1407515430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5209 (CT)
- Practice address
- 16 Hillside Ave
Naugatuck, CT 06770-4019 - Phone
- (203) 729-0341
- NPI assigned
- Dec 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stokes Counseling Services LLC
Practice addresses (Care Compare)
16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240129003383 | CT | Practitioner - Mental Health Counselor | 9133572878 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stokes Counseling Services LLC | Professional | Current |
Accepting new patients |
Locations
16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 5209 | CT | Yes |
Addresses
Primary practice location
16 Hillside Ave
Naugatuck, CT 06770-4019
Mailing address
130 Greenwich Ave Apt 2
New Haven, CT 06519-2802
Other providers in Naugatuck, CT
- Kimberly Carlone
- Rebecca Marie Carney
- Emily Carpenter
- Betty M Carreira
- Renee Castellan
- Amy Cercone
- Victoria Chasse-Jabusch
- Keith Chauvette
- Barbara Dawn Chavis
- Dana Cheveleva-Dickinson
All providers in Naugatuck, 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 Dec 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.