Provider Demographics
NPI:1740396936
Name:KNOSIS COUNSELING AND PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:KNOSIS COUNSELING AND PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:CHERYL
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, EDM, MSW, LCSW
Authorized Official - Phone:203-743-9012
Mailing Address - Street 1:41 KENOSIA AVE
Mailing Address - Street 2:STE 302
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7360
Mailing Address - Country:US
Mailing Address - Phone:203-743-9012
Mailing Address - Fax:203-743-9012
Practice Address - Street 1:41 KENOSIA AVE
Practice Address - Street 2:STE 302
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7360
Practice Address - Country:US
Practice Address - Phone:203-743-9012
Practice Address - Fax:203-743-9012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0048441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0007204577OtherAETNA
CT7349733OtherVALUE OPTIONS-EMPIRE GHI
CT140004844CT03OtherANTHEM BH
CT2068783OtherCIGNA
CT275249OtherMHN/HEALTHNET
CTP2159350OtherOXFORD
CT11403041OtherCAQH
CT163859OtherVALUE OPTIONS-PITNEY BOWE
CTC03590Medicare PIN