Kim L. Adams, BA
Individual provider Active NPI Marriage & Family Therapist · Groton, CT
NPI 1770109324 · NPPES record last updated Jun 19, 2020
Key facts
- NPI
- 1770109324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 591 Poquonnock Rd
Groton, CT 06340-4571 - Phone
- (860) 449-8217
- Fax
- (860) 449-8323
- NPI assigned
- Jun 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Behavioral Care New England LLC
Practice addresses (Care Compare)
431 Johnson St
North Andover, MA 01845-4721
Phone (978) 296-5595
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250923001087 | MA | Practitioner - Marriage and Family Therapist | 9234634205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Care New England LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
591 Poquonnock Rd
Groton, CT 06340-4571
Mailing address
255 Hempstead St
New London, CT 06320-6290
Phone (860) 443-2896
Other providers in Groton, CT
- 1145 Poquonnock Road Operations LLC
- 42 North Dental Care PLLC
- William J Aberizk Jr.
- Thomas Aceto
- Sharon J Adams
- George Dennis Adrian
- Advanced Back and Neck Care Center LLC
- Ron A. Agostini
- Airline Drug Inc
All providers in Groton, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.