Active NPI
Christina Chykirda, LPC
- Professional Counselor
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 004112
- Practice address
- 150 N Main St
Manchester, CT 06042-2086 - Phone
- (860) 533-3434
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 004112 | CT | Primary |
Addresses
Primary practice location
150 N Main St
Manchester, CT 06042-2086
Mailing address
41 Carillon Dr Apt D
Rocky Hill, CT 06067-2541
Phone (860) 490-6283
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004112 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Manchester Hospital, Inc. | Current | Accepting new patients | |
| Prospect Manchester Hospital, Inc. | Current | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation Inc | Professional | Past | Accepting new patients |
| United Services Inc | Past | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients |
Locations
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
150 N Main St
Manchester, CT 06042
Phone (860) 533-3434
2600 Tamarack Ave
South Windsor, CT 06074
Phone (860) 872-0501
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1316394638
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
-
- General Acute Care Hospital
- Vernon, CT
- NPI 1205283538
-
- Health Educator
- South Windsor, CT
- NPI 1821695222
-
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
Professional
-
- Specialist
- South Windsor, CT
- NPI 1497864516
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayville, CT
- NPI 1063413011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1922515055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 CARILLON DR APT D",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060672541",
"telephone_number": "860-490-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422086",
"telephone_number": "860-533-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHYKIRDA",
"first_name": "CHRISTINA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "004112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.