Individual provider Active NPI

Kathleen Graziano, APRN

  • Marriage & Family Therapist
  • Fairfield, CT
National Provider Identifier
1972590800
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000642 Issued in CT
Practice address
370 Beach Rd
Fairfield, CT 06824-6639
Phone
(203) 255-5777
Fax
(203) 259-9673
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 002570 CT
Marriage & Family Therapist 106H00000X 000642 CT Primary

Addresses

Primary practice location

370 Beach Rd
Fairfield, CT 06824-6639

Mailing address

370 Beach Rd
Fairfield, CT 06824-6639
Phone (203) 255-5777

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000675 CT Practitioner - Nurse Practitioner 6103716204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christian Counseling and Family Life Center, Inc.Group PAC ID 4688637010, 9 clinicians

Practice addresses (Care Compare)

183 Howe Ave
Shelton, CT 06484-3323
Phone (203) 929-1117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002570CTMDOptometrist
000642CTMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Services, Inc. CurrentSince Nov 1, 2016 Accepting new patients
The Christian Counseling and Family Life Center, Inc. Marriage & Family Therapist CurrentSince Nov 22, 2010 Accepting new patients
State of Connecticut Past Accepting new patients
State of Connecticut PastSince Jul 16, 1998 Accepting new patients

Locations

25 Church St
Shelton, CT 06484
Phone (203) 929-1117

183 Howe Ave
Shelton, CT 06484
Phone (203) 200-0309

Organizations & group practices 4

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972590800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BEACH RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246639",
            "telephone_number": "203-255-5777",
            "fax_number": "203-259-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BEACH RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246639",
            "telephone_number": "203-255-5777",
            "fax_number": "203-259-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIANO",
        "first_name": "KATHLEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002570",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.