Kettavong Counseling, LLC
NPI 1285084517ActiveOrganization· Social Worker, Clinical· Norwich, CT
Social Worker, Clinical in Norwich, Connecticut, registered in NPPES in June 2016. The authorized official on file is Malyna Kettavong, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285084517 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2016 |
| Last updated in NPPES | Aug 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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