Kettavong Counseling, LLC
NPI 1285084517 · Clinical Social Worker · Norwich, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kettavong Counseling, LLC is a Clinical Social Worker organization in Norwich, CT (NPI 1285084517).
Provider details
- NPI number
- 1285084517
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Malyna Kettavong, Owner(860) 803-9724
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-17
- Last updated
- 2017-08-14
Frequently asked questions
- What is Kettavong Counseling, LLC's NPI number?
- Kettavong Counseling, LLC's National Provider Identifier (NPI) is 1285084517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kettavong Counseling, LLC?
- Kettavong Counseling, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kettavong Counseling, LLC located?
- Kettavong Counseling, LLC's practice location on file with NPPES is 18 Oneco St, Norwich, CT 06360-3440.
- What is Kettavong Counseling, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kettavong Counseling, LLC is (860) 822-3208.
- Does Kettavong Counseling, LLC accept Medicare?
- Kettavong Counseling, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kettavong Counseling, LLC?
- The authorized official listed on Kettavong Counseling, LLC's NPPES record is Malyna Kettavong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kettavong Counseling, LLC's NPI active?
- Yes — Kettavong Counseling, LLC's NPI (1285084517) is active in the NPPES registry as of the last update on 2017-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.