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KELLY REDDICK L.M.F.T.
NPI 1316034739
Marriage & Family Therapist in Norwich, CT

Active since October 06, 2006PECOS Enrolled
219 W TOWN ST STE D, NORWICH, CT 06360(860) 208-1200 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2019, Feb 13, 2019 (2 updates tracked since 2019).

About Kelly Reddick L.m.f.t. NPPES

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

KELLY REDDICK L.M.F.T. (NPI 1316034739) is an individual marriage & family therapist in Norwich, Connecticut, licensed in Connecticut (001106) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwich, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1316034739
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY REDDICKCredential: L.M.F.T.
Location Address219 W TOWN ST STE DNorwich, CT 06360-2130
Mailing Address49 Blue Hill RdBozrah, CT 06334-1001 · (860) 823-1399
Phone(860) 208-1200
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 6, 2006
Last NPPES UpdateFebruary 20, 20192 updates tracked since enumeration
✔ NPI 1316034739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CT · 001106
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
219 W TOWN ST STE D, Norwich, CT 06360
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Secondary Practice Location 1

Location 122 Case StNorwich, CT 06360-2215 · Phone (860) 823-1399 ext. 111 · Fax (860) 823-1170

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Reddick L.m.f.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385184852
PECOS Enrollment IDI20240911000688
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kelly Reddick's NPI number?

The NPI number for Kelly Reddick is 1316034739. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Kelly Reddick located?

Kelly Reddick practices at 219 W Town St Ste D, Norwich, CT 06360. The listed phone number is (860) 208-1200.

What is Kelly Reddick's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelly Reddick enrolled in Medicare?

Yes. Kelly Reddick is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Reddick accept?

Health plans from Providence Health Plan list Kelly Reddick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Reddick was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.