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KENNETH C FAGAN
NPI 1740052919
Counselor - Professional in Enfield, CT

Active since October 23, 2023
153 HAZARD AVE, ENFIELD, CT 06082(860) 731-5522(860) 731-5536 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth C Fagan NPPES

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

KENNETH C FAGAN (NPI 1740052919) is an individual professional provider in Enfield, Connecticut and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1740052919
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKENNETH C FAGAN
Location Address153 HAZARD AVEEnfield, CT 06082-4592
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 731-5522
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1740052919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
153 HAZARD AVE, Enfield, CT 06082
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Other Providers at the Same Location NPPES 20

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

SHALIAR DREW
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
JULIANNE BERNSTEIN
Student in an Organized Health Care Education/Training Program
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
MEILINE SMITH
Marriage & Family Therapist
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
MONICA E CRIMMINS
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571
KEVIN LENIART
Counselor
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
AMY KINGSBURY
Counselor
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 731-5522
ALEXA A LIUCCI
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571
JOHN A TINNIRELLA
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571

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 Kenneth Fagan's NPI number?

The NPI number for Kenneth Fagan is 1740052919. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Kenneth Fagan located?

Kenneth Fagan practices at 153 Hazard Ave, Enfield, CT 06082. The listed phone number is (860) 731-5522.

What is Kenneth Fagan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kenneth Fagan was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.