Active NPIIndividual providerSole proprietor

Ms. Kassandra A Konuch, BS, CADC, LCDP

Counselor, Addiction (Substance Use Disorder) in North Kingstown, Rhode Island

NPI Number1679164511
Practice location
1130 Ten Rod RD Bldg F, North Kingstown, RI 02852-4161
Fax
—
Last updated
April 2, 2021

Kassandra A Konuch is a Counselor, Addiction (Substance Use Disorder) based in North Kingstown, RI. Kassandra A Konuch practices in North Kingstown, RI and has the professional credentials of BS, CADC, LCDP. The NPI Number for Kassandra A Konuch is 1679164511 and holds a License No. CDP00817 (RI). The current practice location address for Kassandra A Konuch is 1130 Ten Rod RD Bldg F, North Kingstown, RI 02852-4161 and can be reached out via phone at 401-261-7900.

Provider Profile Details

NPI Number
1679164511
Provider Name
Kassandra A Konuch
Credential
BS, CADC, LCDP
Provider Entity Type
Individual
Gender
Female
Address
1130 Ten Rod RD Bldg F, North Kingstown, RI 02852-4161
Phone Number
401-261-7900
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2021
Last Update Date
April 2, 2021
Certification Date
April 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1130 Ten Rod RD Bldg F
North Kingstown, RI 02852-4161
Zip
02852-4161
Phone Number
401-261-7900
North Kingstown, RI 02852Get directions →

Provider Business Mailing Address Details

Address
63 Jennifer Dr
Wakefield, RI 02879-2346
City
Wakefield
State
RI
Zip
02879-2346
Phone Number
401-261-7900

License Information

License Number
CDP00817
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kassandra A Konuch, BS, CADC, LCDP?

The NPI number of Ms. Kassandra A Konuch, BS, CADC, LCDP is 1679164511. It was assigned on February 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Kassandra A Konuch, BS, CADC, LCDP?

Ms. Kassandra A Konuch, BS, CADC, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00817.

Where does Ms. Kassandra A Konuch, BS, CADC, LCDP practice?

The practice location is 1130 Ten Rod RD Bldg F, North Kingstown, RI 02852-4161. The office can be reached at 401-261-7900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679164511 directly on the NPPES registry website.

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