MRS. MARILYN CARLSON KAIN (LPC LADC) – Counselor, NPI 1114023744

MRS. MARILYN CARLSON KAIN (LPC LADC) is a healthcare provider. based in Brookfield, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC LADC. They hold a License No. LPC000560 (CT). The NPI Number for MRS. MARILYN CARLSON KAIN (LPC LADC) is 1114023744

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARILYN CARLSON KAIN (LPC LADC)
NPI
1114023744
Phone
(203) 775-3282
Address
2 OLD NEW MILFORD RD
Enumeration Date
14 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037753282
Graduation Year
1985 (41 years ago)
PAC ID
6901256999
Group Practice PAC ID
2264513365
Professional Enrollment ID
I20240103003222
Address ID
CT068042426BR2XXXXRDXX545
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

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Provider Addresses for MRS. MARILYN CARLSON KAIN (LPC LADC)

  • 2, Old New Milford Road, Brookfield, Fairfield County, Connecticut, 06804, United States

    SUITE 2A LANDMARK OFFICE BUILDING

    BROOKFIELD, CT 068042426

    Phone: (203) 775-3282

    Fax: (203) 775-3478

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240103003222IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264513365View full group profile
NameSpecialtyState
Marriage And Family TherapistCT
Mental Health CounselorCT
Clinical Social WorkerCT
Certified Clinical Nurse Specialist (Cns)CT

Reviews

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Frequently asked questions

Is MRS. MARILYN CARLSON KAIN (LPC LADC) listed with a National Provider Identifier?
Yes — MRS. MARILYN CARLSON KAIN (LPC LADC) has NPI 1114023744 on file in the registry.
Would MRS. MARILYN CARLSON KAIN (LPC LADC) appear as active to a payer?
You can treat MRS. MARILYN CARLSON KAIN (LPC LADC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. MARILYN CARLSON KAIN (LPC LADC)?
MRS. MARILYN CARLSON KAIN (LPC LADC)'s record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. MARILYN CARLSON KAIN (LPC LADC)?
Directory geography for MRS. MARILYN CARLSON KAIN (LPC LADC) centers on Brookfield, Connecticut.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.