Active NPI
Kira Akulova-Nickerson, LPC
- Counseling Psychologist
- Greenwich, CT
National Provider Identifier
1639720329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 003774
- Practice address
- 270 Greenwich Ave
Greenwich, CT 06830-6530 - Phone
- (914) 888-6432
- NPI assigned
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 003774 | CT | Primary |
Addresses
Primary practice location
270 Greenwich Ave
Greenwich, CT 06830-6530
Mailing address
270 Greenwich Ave
Greenwich, CT 06830-6530
Phone (203) 424-0012
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003774 | CT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1639720329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 GREENWICH AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306530",
"telephone_number": "203-424-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 GREENWICH AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306530",
"telephone_number": "914-888-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKULOVA-NICKERSON",
"first_name": "KIRA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CT",
"license": "003774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.