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KATHLEEN WATANABE LCSW LADC
NPI 1518079730
Counselor - Addiction (Substance Use Disorder) in Middletown, CT

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
154 COLLEGE ST, MIDDLETOWN, CT 06457(860) 347-8894(860) 346-2405 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Watanabe Lcsw Ladc NPPES

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

KATHLEEN WATANABE LCSW LADC (NPI 1518079730) is an individual addiction (substance use disorder) provider in Middletown, Connecticut, licensed in Connecticut (00039) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1518079730
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATHLEEN WATANABECredential: LCSW LADC
Location Address154 COLLEGE STMiddletown, CT 06457
Mailing Address154 College StMiddletown, CT 06457 · (860) 347-8894 · Fax (860) 346-2405
Phone(860) 347-8894
Fax(860) 346-2405
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 1, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1518079730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · 00039
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 004228 (CT)
154 COLLEGE ST, Middletown, CT 06457
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Other Identifiers 1

Other140004228CT01CT · Anthem

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 and accepts Medicare assignment

Kathleen Watanabe Lcsw Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42486813
PECOS Enrollment IDI20111228000296
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEGE STREET COUNSELING CENTER LLC
Social Worker (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-8894
EDWARD GEORGE LANGFORD II LPC
Counselor (Professional)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 719-1969
SALLY F BAUMER L.C.S.W.
Social Worker (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-1415
DR. PATRICK JOSEPH RUSSOLILLO PH.D
Psychologist (Clinical Child & Adolescent)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9694
DR. ROSEMARY BLEYER PH.D.
Psychologist (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-1415
DAVID SPALDING LCSW
Social Worker (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-9150

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 Kathleen Watanabe's NPI number?

The NPI number for Kathleen Watanabe is 1518079730. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Kathleen Watanabe located?

Kathleen Watanabe practices at 154 College St, Middletown, CT 06457. The listed phone number is (860) 347-8894.

What is Kathleen Watanabe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kathleen Watanabe enrolled in Medicare?

Yes. Kathleen Watanabe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Watanabe accept?

Health plans from Providence Health Plan list Kathleen Watanabe 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 Kathleen Watanabe was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.