KRISTIN FERGUSON
NPI 1679202030
Counselor - Mental Health in Burlington, CT
About Kristin Ferguson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN FERGUSON (NPI 1679202030) is an individual mental health provider in Burlington, Connecticut, licensed in Connecticut (005318) and active in the NPI registry since June 2022. She has opted out of Medicare through June 26, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kristin Ferguson 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 June 26, 2024 through June 26, 2028.
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 Kristin Ferguson's NPI number?
The NPI number for Kristin Ferguson is 1679202030. It was assigned to this individual provider in the NPPES registry on June 9, 2022.
Where is Kristin Ferguson located?
Kristin Ferguson practices at 2 Briar Clf, Burlington, CT 06013. The listed phone number is (860) 368-8665.
What is Kristin Ferguson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kristin Ferguson enrolled in Medicare?
No. Kristin Ferguson has opted out of Medicare through June 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kristin Ferguson was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kristin Ferguson · NPI 1679202030
Mental Health provider in Burlington, Connecticut. Individual provider, active in the CMS NPPES registry since June 9, 2022.
## Identity
- **NPI:** 1679202030 (Entity type: Individual)
- **Enumerated:** June 9, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 005318 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2 BRIAR CLF, Burlington, CT 06013-2233
- **Phone:** (860) 368-8665
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679202030) · Data from the CMS NPPES public registry.