| Kiefer Counseling Llc | |
| 
					121 Allen St Terryville CT 06786-6414  | |
| (203) 815-9432 | |
| Not Available | 
| Full Name | Kiefer Counseling Llc | 
|---|---|
| Speciality | Social Worker | 
| Location | 121 Allen St, Terryville, Connecticut | 
| Authorized Official Name and Position | Ashley Kiefer (OWNER) | 
| Authorized Official Contact | 2038159432 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kiefer Counseling Llc 121 Allen St Terryville CT 06786-6414 Ph: (203) 815-9432  | Kiefer Counseling Llc 121 Allen St Terryville CT 06786-6414 Ph: (203) 815-9432  | 
| NPI Number | 1568100873 | 
|---|---|
| Provider Enumeration Date | 05/25/2022 | 
| Last Update Date | 05/25/2022 | 
| Certification Date | 05/25/2022 | 
| Medicare PECOS PAC ID | 1254707367 | 
|---|---|
| Medicare Enrollment ID | O20221014000664 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568100873 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Michele A Marek | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1144324229 PECOS PAC ID: 8426151655 Enrollment ID: I20070308000546  | 
| Provider Name | Sanh Angkhavong | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962855882 PECOS PAC ID: 8921388026 Enrollment ID: I20161207000929  | 
| Provider Name | Heather M Humphrey | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1346785086 PECOS PAC ID: 3678856796 Enrollment ID: I20170215000102  | 
| Provider Name | Ashley K Kiefer | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1841646239 PECOS PAC ID: 0244565653 Enrollment ID: I20190708001710  | 
| Provider Name | Laura Capri | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1538599451 PECOS PAC ID: 9739514555 Enrollment ID: I20200123002866  | 
| Provider Name | Jeremiah Peter Baker | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1700546421 PECOS PAC ID: 5799170239 Enrollment ID: I20220318000699  | 
| Provider Name | Amber Perez | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1295235596 PECOS PAC ID: 0547637183 Enrollment ID: I20221110001243  | 
| Provider Name | Breeann Redman | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1538942354 PECOS PAC ID: 9830542430 Enrollment ID: I20240131000815  | 
| Provider Name | Katharine Schacter | 
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist | 
| Provider Identifiers | NPI Number: 1770190084 PECOS PAC ID: 5698119741 Enrollment ID: I20240216003261  | 
| Provider Name | Alethea Therrien | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1871923748 PECOS PAC ID: 6800230376 Enrollment ID: I20240223000915  | 
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