Organization Active NPI

Kindred Psychotherapy and Consultation PLLC

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1427706688
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KINDRED PSYCHOTHERAPY AND CONSULTATION PLLC
Practice address
555 Highland Ave # 21
Cheshire, CT 06410-2255
Phone
(860) 305-2727
NPI assigned
Mar 16, 2022
Last updated
Apr 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Alana Dipesa, LCSWNPI 1689075772
Title
Owner
Phone
(860) 305-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

555 Highland Ave # 21
Cheshire, CT 06410-2255

Mailing address

PO Box 406
Morris, CT 06763-0406
Phone (860) 305-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504000137 CT Part B Supplier - Clinic/Group Practice 3870980238 Receives reassigned benefits from 6 practitioners
Practice locations: Cheshire, CT; Waterford, CT

National Provider Directory

National Provider Directory

Locations

555 Highland Ave
#21
Cheshire, CT 06410
Phone (860) 305-2727

555 Highland Ave
Ste 21
Cheshire, CT 06410
Phone (860) 305-2727

567 Vauxhall Street Ext
Ste 314
Waterford, CT 06385
Phone (860) 303-0336

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1427706688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "MORRIS",
            "state": "CT",
            "postal_code": "067630406",
            "telephone_number": "860-305-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HIGHLAND AVE # 21",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102255",
            "telephone_number": "860-305-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED PSYCHOTHERAPY AND CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "DIPESA",
        "authorized_official_first_name": "ALANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-305-2727",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.