Kelly Badyrka, LPC, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KELLY BADYRKA, LPC, LLC

Practice address

123 Farmington Ave Ste 177
Bristol, CT 06010-4200

Phone

(860) 863-7170

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Kelly Jennifer Badyrka, LPCNPI 1831642289

Title

Sole Member

Phone

(860) 272-8520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Badyrka, LPC

  • Professional Counselor
  • Rocky Hill, CT
  • NPI 1831642289
  NPD Authorized official

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1902495963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FARMINGTON AVE STE 177",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FARMINGTON AVE STE 177",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104200",
            "telephone_number": "860-863-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY BADYRKA, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2020-12-27",
        "status": "A",
        "authorized_official_last_name": "BADYRKA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "860-272-8520",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pallavi Krishna Karpe, DMD
• Christina Marie Kaschak, APRN
• Laith Kasir, M.D.
• David Elliot Kaye
• Jeffrey Kaye, M.D.
• Emily Kelly
• Shane Patrick Kelly, PHARM.D.
• Kayla Nicole Kennedy, PA-C
• Kenneth K. Rhee, MD,PC
• Mia Kercado, LDO

• Community/Behavioral Health Agency in Bristol, CT
• Providers in Bristol, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.