KETTAVONG COUNSELING, LLC
NPI 1285084517
Social Worker - Clinical in Norwich, CT
About Kettavong Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETTAVONG COUNSELING, LLC (NPI 1285084517) is a healthcare organization registered as a clinical in Norwich, Connecticut and active in the NPI registry since June 2016. The organization lists Malyna Kettavong, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kettavong Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kettavong Counseling, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kettavong Counseling, LLC's NPI number?
The NPI number for Kettavong Counseling, LLC is 1285084517. It was assigned to this organization in the NPPES registry on June 17, 2016.
Where is Kettavong Counseling, LLC located?
Kettavong Counseling, LLC is located at 18 Oneco St Suite 3, Norwich, CT 06360. The listed phone number is (860) 822-3208.
What is Kettavong Counseling, LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kettavong Counseling, LLC enrolled in Medicare?
Yes. Kettavong Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kettavong Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kettavong Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kettavong Counseling, LLC was last updated on August 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kettavong Counseling, Llc · NPI 1285084517
Clinical organization in Norwich, Connecticut. Organization record, active in the CMS NPPES registry since June 17, 2016.
## Identity
- **NPI:** 1285084517 (Entity type: Organization)
- **Enumerated:** June 17, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Malyna Kettavong, OWNER
## Practice location
- **Address:** 18 ONECO ST, SUITE 3, Norwich, CT 06360-3440
- **Phone:** (860) 822-3208
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1285084517) · Data from the CMS NPPES public registry.