Kristen Birmingham, LADC
Counselor, Addiction (Substance Use Disorder) in Waterbury, CT. Individual provider (NPI-1).
NPI number1699313593
StatusActive
Last updated in NPPESDec 11, 2019
Details
- NPI
- 1699313593
- Entity type
- Individual (NPI-1)
- Name
- Kristen Birmingham
- Credential
- LADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2019
- Certification date
- Dec 11, 2019
- Last updated
- Dec 11, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 000033 | CT | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
276 Highland AveWaterbury, CT 06708-3022
Phone 860-302-8671
Mailing address
46 Barbara LanePlantsville, CT 06479
Phone 860-919-4815 · Fax 877-346-8993
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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