Kimberly Bella Montefusco, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Carriage PL
Suite 4
Waterbury, CT 06702-2108

Phone

(860) 488-0607

NPI assigned

Jul 25, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1649558685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARRIAGE PL",
            "address_2": "SUITE 4",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022108",
            "telephone_number": "860-488-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARRIAGE PL",
            "address_2": "SUITE 4",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022108",
            "telephone_number": "860-488-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEFUSCO",
        "first_name": "KIMBERLY",
        "middle_name": "BELLA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monarch Counseling Group, LLC
• Sukhda Monga
• Philip A. Mongelluzzo Jr., M.D.
• Nancy S Monocchi, LMFT
• Sarah Marie Montavon, APRN
• Michael Montefusco
• Nicole Montello, PHARMD
• Asia Montgomery
• Lorenzo Montgomery, BA
• Holly Montpelier

• All providers in Waterbury, CT
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.