Active NPI
Monika Kahlenbach, LPC
- Professional Counselor
- Glastonbury, CT
National Provider Identifier
1609986710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CT000486
- Practice address
- 155 Sycamore St
Glastonbury, CT 06033-2223 - Phone
- (860) 659-3553
- Fax
- (860) 659-0744
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | CT000486 | CT | Primary |
Addresses
Primary practice location
155 Sycamore St
Glastonbury, CT 06033-2223
Mailing address
155 Sycamore St
Glastonbury, CT 06033-2223
Phone (860) 659-3553
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 |
|---|---|---|---|---|
| I20240126003544 | CT | Practitioner - Mental Health Counselor | 9830542752 | Practice locations: Glastonbury, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
41 B New London Tpke
Glastonbury, CT 06033-4240
Phone (860) 633-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT000486 | CT | MD | Professional Counselor |
| 000486 | CT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609986710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 SYCAMORE ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332223",
"telephone_number": "860-659-3553",
"fax_number": "860-659-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 SYCAMORE ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332223",
"telephone_number": "860-659-3553",
"fax_number": "860-659-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHLENBACH",
"first_name": "MONIKA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "CT000486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.