Kelly Rogers Ayen

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hebron, CT

NPI 1487594628 · NPPES record last updated Mar 30, 2026

Key facts

NPI
1487594628
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1667 (CT)
Practice address
170 Charles LN
Hebron, CT 06248-1250
Phone
(860) 456-7990
NPI assigned
Mar 30, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X 1667 CT Yes

Addresses

Primary practice location

170 Charles LN
Hebron, CT 06248-1250

Mailing address

170 Charles LN
Hebron, CT 06248-1250

Other providers in Hebron, CT

All providers in Hebron, CT · Addiction (Substance Use Disorder) Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.