Individual provider Active NPI

Kathleen Mulhall Nasser

  • Professional Counselor
  • Plantsville, CT
National Provider Identifier
1487428744
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6924 Issued in CT
Practice address
791 S Main St
Plantsville, CT 06479-1519
Phone
(860) 378-8090
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6924 CT Primary

Addresses

Primary practice location

791 S Main St
Plantsville, CT 06479-1519

Mailing address

791 S Main St
Plantsville, CT 06479-1519
Phone (203) 695-4904

Other names 1

  • Kathleen Mulhall Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105000125 CT Practitioner - Mental Health Counselor 3779073168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6924CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Therapy Services LLC Current Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 15, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 15, 2025 Accepting new patients
Apple Valley Behavioral Health LLC Professional CurrentSince Nov 12, 2023 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1487428744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 S MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791519",
            "telephone_number": "203-695-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 S MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791519",
            "telephone_number": "860-378-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHALL NASSER",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "6924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MULHALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plantsville, CT

Sources for this page

Verify at the official NPI Registry.