Individual provider Active NPI

Kathryn Cedor, LPC

  • Professional Counselor
  • Cheshire, CT
National Provider Identifier
1588079164
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002521 Issued in CT
Practice address
673 S Main St
Cheshire, CT 06410-3149
Phone
(203) 271-1430
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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 002521 CT Primary

Addresses

Primary practice location

673 S Main St
Cheshire, CT 06410-3149

Mailing address

543 Kanuga TRL
Orange, CT 06477-2659

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

LicenseStateTypeSpecialty
002521CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Behavioral Health, LLC Professional CurrentSince Aug 2, 2020 Accepting new patients
Hope Haven, LLC CurrentSince Aug 23, 2020 Accepting new patients

Locations

673 S Main St
Cheshire, CT 06410
Phone (203) 271-1430

Organizations & group practices 2

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1588079164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 KANUGA TRL",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103149",
            "telephone_number": "203-271-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDOR",
        "first_name": "KATHRYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.