Kristen Birmingham, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Waterbury, CT
NPI 1699313593 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1699313593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 000033 (CT)
- Practice address
- 276 Highland Ave
Waterbury, CT 06708-3022 - Phone
- (860) 302-8671
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000033 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teletherapy Services PLLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000033 | CT | Yes |
Addresses
Primary practice location
276 Highland Ave
Waterbury, CT 06708-3022
Mailing address
46 Barbara Lane
Plantsville, CT 06479
Phone (860) 919-4815
Other providers in Waterbury, CT
- Tanya Bingham
- Kaitlin H Binnington
- Biometrics, Inc
- Kendrah Bioski
- Alison Birdsey
- Kelsie L Bissell
- Elise Bitterman
- Mickayla Bivona
- Connor Bixby
- Latanya Bizor
All providers in Waterbury, CT · Addiction (Substance Use Disorder) Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.