MS. JOANN KIERNAN (PHD LPC) – Counselor, NPI 1316074560

MS. JOANN KIERNAN (PHD LPC) is a healthcare provider. based in Meriden, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PHD LPC. They hold a License No. 000667 (CT). The NPI Number for MS. JOANN KIERNAN (PHD LPC) is 1316074560

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. JOANN KIERNAN (PHD LPC)
NPI
1316074560
Phone
(203) 630-5280
Address
883 PADDOCK AVE
Enumeration Date
27 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036305220
Graduation Year
1996 (30 years ago)
PAC ID
3274985320
Group Practice PAC ID
1153227756
Professional Enrollment ID
I20240115000650
Address ID
CT064507044ME883XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

834 MENTAL HEALTH COUNSELOR in CT

Provider Addresses for MS. JOANN KIERNAN (PHD LPC)

  • 883 PADDOCK AVE

    MERIDEN, CT 064507044

    Phone: (203) 630-5280

    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: 2024-01-15

PECOS data refreshed: 2026-06-15

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
I20240115000650IMental 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

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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 06450)

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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: 1153227756View full group profile
NameSpecialtyState
Mental Health CounselorCT
Mental Health CounselorCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Clinical Social WorkerCT
P S Y C H I A T R YCT
-CT
Nurse PractitionerCT
-CT

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Frequently asked questions

What identifier follows MS. JOANN KIERNAN (PHD LPC) across health systems?
The NPI 1316074560 uniquely identifies MS. JOANN KIERNAN (PHD LPC) in U.S. healthcare data.
Is MS. JOANN KIERNAN (PHD LPC)'s NPI status active today?
Active status means MS. JOANN KIERNAN (PHD LPC)'s NPI record is not deactivated in the public file.
What does the directory say MS. JOANN KIERNAN (PHD LPC) does?
Insurance directories may phrase it differently, but here MS. JOANN KIERNAN (PHD LPC) maps to Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit MS. JOANN KIERNAN (PHD LPC) in Meriden, Connecticut?
For routing, start with Meriden, Connecticut for MS. JOANN KIERNAN (PHD LPC), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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