Active NPI
Courtney Juliano
- Professional Counselor
- Sandy Hook, CT
National Provider Identifier
1710852181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8903
- Practice address
- 7 Misty Vale Rd
Sandy Hook, CT 06482-1435 - Phone
- (203) 240-6677
- NPI assigned
- Oct 7, 2025
- Last updated
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8903 | CT | Primary |
Addresses
Primary practice location
7 Misty Vale Rd
Sandy Hook, CT 06482-1435
Mailing address
7 Misty Vale Rd
Sandy Hook, CT 06482-1435
Phone (203) 240-6677
Other names 1
- Courtney Kichline
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8903 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1710852181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MISTY VALE RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821435",
"telephone_number": "203-240-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MISTY VALE RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821435",
"telephone_number": "203-240-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIANO",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CT",
"license": "8903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "KICHLINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sandy Hook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.