Kensey Kristen Rhodes, LPC

Individual provider Active NPI Professional Counselor · West Suffield, CT

NPI 1831874239 · NPPES record last updated Jun 21, 2023

Key facts

NPI
1831874239
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6498 (CT)
Practice address
125 Chestnut Cir
West Suffield, CT 06093-2101
Phone
(903) 814-0759
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6498CTMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6498 CT Yes

Addresses

Primary practice location

125 Chestnut Cir
West Suffield, CT 06093-2101

Mailing address

125 Chestnut Cir
West Suffield, CT 06093-2101
Phone (903) 814-0759

Other providers in West Suffield, CT

All providers in West Suffield, CT · Professional Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.