Individual provider Active NPI

Kathleen L Muscolino, LPC

  • Mental Health Counselor
  • Fairfield, CT
National Provider Identifier
1699234724
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005324 Issued in CT
Practice address
53 Unquowa PL
Fairfield, CT 06824-5058
Phone
(203) 360-4647
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005324 CT Primary

Addresses

Primary practice location

53 Unquowa PL
Fairfield, CT 06824-5058

Mailing address

53 Unquowa PL
Fairfield, CT 06824-5058
Phone (203) 360-4647

Other practice location 1

16 Deacon Abbott Rd
Redding, CT 06896-2009
Phone (203) 360-4647

Other identifiers 1

IdentifierTypeStateIssuer
008108233MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klsilvestri@icloud.com Direct

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
005324CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Beyond Measure CurrentSince Jun 12, 2022 Accepting new patients

Locations

53 Unquowa Pl
Fairfield, CT 06824
Phone (203) 360-4647

Organizations & group practices 1

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1699234724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 UNQUOWA PL",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245058",
            "telephone_number": "203-360-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 UNQUOWA PL",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245058",
            "telephone_number": "203-360-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Deacon Abbott Rd",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CT",
            "postal_code": "068962009",
            "country_code": "US",
            "telephone_number": "203-360-4647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSCOLINO",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "005324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008108233",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klsilvestri@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "16 Deacon Abbott Rd",
            "city": "Redding",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068962009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.