Active NPI
Jeremiah M Karanja, LPC
- Professional Counselor
- Hartford, CT
National Provider Identifier
1457692782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 46-002250
- Practice address
- 593 Farmington Ave
Hartford, CT 06105-3038 - Phone
- (860) 519-3117
- NPI assigned
- Mar 12, 2013
- Sex
- Male
- 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 | 46-002250 | CT | Primary |
Addresses
Primary practice location
593 Farmington Ave
Hartford, CT 06105-3038
Mailing address
5 Michelle LN
Windsor, CT 06095-1680
Phone (860) 324-3965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241202000679 | CT | Practitioner - Mental Health Counselor | 9234664178 | Practice locations: Bloomfield, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46-002250 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Healthcare Pathways LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Bloomfield, CT
- NPI 1538569835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1457692782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MICHELLE LN",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951680",
"telephone_number": "860-324-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061053038",
"telephone_number": "860-519-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARANJA",
"first_name": "JEREMIAH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "46-002250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.