Individual provider Active NPI

Alexei Kasanzew, M.ED. IN MHC

  • Professional Counselor
  • Hamden, CT
National Provider Identifier
1689068520
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005183 Issued in CT
Practice address
2911 Dixwell Ave Ste 202
Hamden, CT 06518-3195
Phone
(203) 399-8449
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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 005183 CT Primary

Addresses

Primary practice location

2911 Dixwell Ave Ste 202
Hamden, CT 06518-3195

Mailing address

2911 Dixwell Ave Unit 202
Hamden, CT 06518-3195
Phone (203) 399-8449

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227001864 CT Practitioner - Mental Health Counselor 6103280003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
005183CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Community Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1689068520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE UNIT 202",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183195",
            "telephone_number": "203-399-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE STE 202",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183195",
            "telephone_number": "203-399-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASANZEW",
        "first_name": "ALEXEI",
        "credential": "M.ED. IN MHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "005183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.