Active NPI
Kristi R Varisco, L.P.C.
- Professional Counselor
- Mystic, CT
National Provider Identifier
1457590093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001791
- Practice address
- 11 Main St
Suite 10-11
Mystic, CT 06355-3654 - Phone
- (401) 741-7130
- NPI assigned
- Feb 4, 2009
- 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 | 001791 | CT | Primary |
Addresses
Primary practice location
11 Main St
Suite 10-11
Mystic, CT 06355-3654
Mailing address
28 Summit St
Stonington, CT 06378-1113
Phone (401) 741-7130
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 |
|---|---|---|---|
| 001791 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1457590093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 SUMMIT ST",
"city": "STONINGTON",
"state": "CT",
"postal_code": "063781113",
"telephone_number": "401-741-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MAIN ST",
"address_2": "SUITE 10-11",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063553654",
"telephone_number": "401-741-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARISCO",
"first_name": "KRISTI",
"middle_name": "R",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.