Kristin Marie Nistico, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4229 Issued in CT

Practice address

55 Walls Dr Ste 206
Fairfield, CT 06824-5180

Phone

(203) 689-8989

NPI assigned

Feb 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Emh Family Services PC

  • Marriage & Family Therapist
  • Fairfield, CT
  • NPI 1619611464

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1568094548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SYLVAN DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845508",
            "telephone_number": "716-289-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WALLS DR STE 206",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245180",
            "telephone_number": "203-689-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Sylvan Dr",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064845508",
            "country_code": "US",
            "telephone_number": "716-289-2416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISTICO",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle A Newell, M.S. CCC-SLP
• Daniel J Newman, M.S.
• Jenifer A. Nields, M.D.
• David Nill
• Nirmala L Monteiro MD LLC
• Michelle Nitti
• Michael Nocerino, DDS
• Julie Nolan
• Jennifer M Nori, PHYSICIAN ASSISTANT
• Northeast Medical Group, Inc

• All providers in Fairfield, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.

Verify at the official NPI Registry.