Individual provider Active NPI

Agnes Konadu Arhin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1780371971
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11929 Issued in CT
Practice address
21 Grand St
Hartford, CT 06106-1541
Phone
(860) 550-7559
Fax
(860) 550-7596
NPI assigned
Apr 19, 2023
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11929 CT Primary
Registered Nurse 163W00000X 143457 CT
Psychiatric/Mental Health Registered Nurse 163WP0808X 143457 CT

Addresses

Primary practice location

21 Grand St
Hartford, CT 06106-1541

Mailing address

2 Matthew LN
Broad Brook, CT 06016-1006
Phone (860) 348-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803001605 CT Practitioner - Nurse Practitioner 1254792484 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
143457CTMDRegistered Nurse
11929CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2023 Accepting new patients
Step Up Care PC LLC CurrentSince Dec 16, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 20, 2024 Accepting new patients
Serene Psychiatric & Medical Practice PLLC Psychiatric/Mental Health CurrentSince Jul 21, 2024 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Dec 20, 2023 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Dec 20, 2023 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

21 Grand St
Hartford, CT 06106

500 Blue Hills Ave
Hartford, CT 06112
Phone (860) 714-2681

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • Direct secure messaging: aarhin2383523@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1780371971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MATTHEW LN",
            "city": "BROAD BROOK",
            "state": "CT",
            "postal_code": "060161006",
            "telephone_number": "860-348-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061541",
            "telephone_number": "860-550-7559",
            "fax_number": "860-550-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARHIN",
        "first_name": "AGNES",
        "middle_name": "KONADU",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "11929",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "143457",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "143457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.