Active NPI
Kristin J. Lincoln, M.S., LPC
- Mental Health Counselor
- Mystic, CT
National Provider Identifier
1962432872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CT000170
- Practice address
- 503 New London Rd
Mystic, CT 06355-2040 - Phone
- (860) 536-2794
- Fax
- (860) 536-2794
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CT000170 | CT | Primary |
Addresses
Primary practice location
503 New London Rd
Mystic, CT 06355-2040
Mailing address
503 New London Rd
Mystic, CT 06355-2040
Phone (860) 536-2794
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT000170 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962432872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 NEW LONDON RD",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552040",
"telephone_number": "860-536-2794",
"fax_number": "860-536-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 NEW LONDON RD",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552040",
"telephone_number": "860-536-2794",
"fax_number": "860-536-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCOLN",
"first_name": "KRISTIN",
"middle_name": "J.",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "CT000170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.