Individual provider Active NPI

Kiana Macburney

  • Counselor
  • New London, CT
National Provider Identifier
1912713827
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7935 Issued in CT
Practice address
932 Bank St
New London, CT 06320-2703
Phone
(860) 447-1717
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7935 CT Primary

Addresses

Primary practice location

932 Bank St
New London, CT 06320-2703

Mailing address

932 Bank St
New London, CT 06320-2703

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7935CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Council on Alcoholism and Drug Dependence Inc CurrentSince Oct 12, 2025 Accepting new patients
Southeastern Council on Alcoholism and Drug Dependence Inc PastSince Dec 8, 2024 Accepting new patients

Locations

932 Bank St
New London, CT 06320
Phone (860) 294-9586

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1912713827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202703",
            "telephone_number": "860-447-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBURNEY",
        "first_name": "KIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "7935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.