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: July 19, 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
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

Secondary Practice Location 1

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

Accepted 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

The NPI number assigned to this healthcare provider is 1316034739, enumerated as an "individual" on October 06, 2006.

The provider is located at 219 W TOWN ST STE D NORWICH, CT 06360 and the phone number is (860) 208-1200.

Marriage & Family Therapist with taxonomy code 106H00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.