Provider Demographics
NPI:1740625045
Name:RIGGOTT, KARA LYNN
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:RIGGOTT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:LYNN
Other - Last Name:GODIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:55 MAIN ST # 1218
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3359
Mailing Address - Country:US
Mailing Address - Phone:860-510-6351
Mailing Address - Fax:860-510-6351
Practice Address - Street 1:55 MAIN ST # 1218
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3359
Practice Address - Country:US
Practice Address - Phone:860-510-6351
Practice Address - Fax:860-510-6351
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CT003920101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health