MS. PAMELA JEAN KIERAS (MS LADC) – Counselor, NPI 1689719544

MS. PAMELA JEAN KIERAS (MS LADC) is a healthcare provider. based in Middletown, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS LADC. They hold a License No. 000693 (CT). The NPI Number for MS. PAMELA JEAN KIERAS (MS LADC) is 1689719544

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. PAMELA JEAN KIERAS (MS LADC)
NPI
1689719544
Phone
(203) 822-1019
Address
1250 SILVER ST
Enumeration Date
20 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602763970
Graduation Year
2020 (6 years ago)
PAC ID
9537512140
Group Practice PAC ID
6507776564
Professional Enrollment ID
I20240131001206
Address ID
CT064892500SO98XXXSTXX300
Telehealth
Yes
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

818 MENTAL HEALTH COUNSELOR in CT

Provider Addresses for MS. PAMELA JEAN KIERAS (MS LADC)

  • 1250 SILVER ST

    MIDDLETOWN, CT 064573946

    Phone: (203) 822-1019

    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: 2024-01-31

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
I20240131001206IMental 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 06457)

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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: 6507776564View full group profile

Reviews

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Frequently asked questions

How do payers reference MS. PAMELA JEAN KIERAS (MS LADC)?
For MS. PAMELA JEAN KIERAS (MS LADC), use NPI 1689719544 as the unique 10-digit identifier.
Is MS. PAMELA JEAN KIERAS (MS LADC) shown as active in public data?
Registry records indicate MS. PAMELA JEAN KIERAS (MS LADC) maintains an active NPI.
What expertise is attributed to MS. PAMELA JEAN KIERAS (MS LADC)?
MS. PAMELA JEAN KIERAS (MS LADC)'s specialty line reads Counselor. Clinical services aligned with this taxonomy classification.
Is MS. PAMELA JEAN KIERAS (MS LADC) located near Middletown?
MS. PAMELA JEAN KIERAS (MS LADC) currently maps to Middletown, Connecticut in this extract.
When was this NPI issued?
Enumeration for MS. PAMELA JEAN KIERAS (MS LADC) is noted as February 20, 2007 where the registry provides it.

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