Individual provider Active NPI

Mary Noa-Kempner, LMHC

  • Professional Counselor
  • Old Saybrook, CT
National Provider Identifier
1831674951
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003903 Issued in CT
Practice address
21 Farview Ave
Old Saybrook, CT 06475-2206
Phone
(754) 264-2959
Fax
(954) 357-4816
NPI assigned
Sep 25, 2018
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12431779-6004 UT
Mental Health Counselor 101YM0800X MH3157 FL
Professional Counselor 101YP2500X CP5153-R NV
Professional Counselor 101YP2500X CC03645 MN
Professional Counselor 101YP2500X LPCC14742 CA
Professional Counselor 101YP2500X 003903 CT Primary

Addresses

Primary practice location

21 Farview Ave
Old Saybrook, CT 06475-2206

Mailing address

21 Farview Ave
Old Saybrook, CT 06475-2206
Phone (754) 264-2959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12431779-6004UTMDMental Health Counselor
LPCC14742CAMDProfessional Counselor
CC03645MNMDProfessional Counselor
CP5153-RNVMDProfessional Counselor
003903CTMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TML Behavioral Health Group LLC CurrentSince May 22, 2024 Accepting new patients
Broward County PastSince Aug 1, 2021 Accepting new patients

Locations

21125 Centre Pointe Pkwy
Santa Clarita, CA 91350
Phone (554) 353-8018

Organizations & group practices 2

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1831674951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FARVIEW AVE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752206",
            "telephone_number": "754-264-2959",
            "fax_number": "954-357-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FARVIEW AVE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752206",
            "telephone_number": "754-264-2959",
            "fax_number": "954-357-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOA-KEMPNER",
        "first_name": "MARY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12431779-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3157",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5153-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC03645",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC14742",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.