KRISTINA FITCH MS, LPC
NPI 1043871734
Counselor - Professional in Madison, CT

Active since June 24, 2019Opted out of Medicare · through Sep 13, 2026
1205 DURHAM RD, MADISON, CT 06443(203) 738-9306 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kristina Fitch Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA FITCH MS, LPC (NPI 1043871734) is an individual professional provider in Madison, Connecticut, licensed in Connecticut (003578) and active in the NPI registry since June 2019. She has opted out of Medicare through September 13, 2026.

NPPES Registry Identity

NPI1043871734
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTINA FITCHCredential: MS, LPC
Location Address1205 DURHAM RDMadison, CT 06443-1872
Mailing Address1205 Durham RdMadison, CT 06443-1872 · (203) 738-9306
Sole ProprietorYes
Enumeration DateJune 24, 2019
NPI 1043871734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 003578
1205 DURHAM RD, Madison, CT 06443

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kristina Fitch Ms, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 13, 2024 through September 13, 2026.

Opt-Out Effective DateSeptember 13, 2024
Opt-Out In Effect ThroughSeptember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043871734, enumerated as an "individual" on June 24, 2019.

The provider is located at 1205 DURHAM RD MADISON, CT 06443 and the phone number is (203) 738-9306.

Counselor with taxonomy code 101YP2500X and a focus in Professional.