Kaylee Renee Havanick, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7472 Issued in CT

Practice address

17 S Highland St
West Hartford, CT 06119-1826

Phone

(860) 258-4171

NPI assigned

Aug 5, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1700616794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SPENCER ST APT 4104",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404635",
            "telephone_number": "475-216-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S HIGHLAND ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191826",
            "telephone_number": "860-258-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVANICK",
        "first_name": "KAYLEE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "7472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hartford Healthcare Medical Group, Inc
• Julian Norris Hartt Jr., LCSW
• Dana Ashley Harvey, LMSW
• Michelle Marie Haudegand-Gough, OT/L
• Jacqueline Foster Haughton, COTA/L
• Haven Health Center of West Hartford, LLC
• Terri Haven, MSW
• Traci Hazelton, PT, ATC, CSCS
• Scott C Healer, P.A.
• Healing Hands Home Care Services, LLC

• Mental Health Counselor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.