KRISTINA GEORGIAN — NPI 1114412236 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1114412236

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

106S00000X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Technician

Box 32 Service Location & ZIP+4

330 COLONEL LEDYARD HWY, LEDYARD, CT, 06339-1910

✓ 9-Digit EDI 837 ZIP+4 (06339-1910)

Practice Phone & Referral Fax

(877) 315-8080

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114412236 (KRISTINA GEORGIAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114412236` (NPI-1 Individual Practitioner)
Provider / Legal Name	KRISTINA GEORGIAN
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Technician NUCC Code: `106S00000X` (Behavior Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	330 COLONEL LEDYARD HWY, LEDYARD, CT, 06339-1910
Practice Telephone / Fax	Tel: (877) 315-8080
Administrative Mailing Address	104 HARTFORD RD, SALEM, CT, 06420-3841
Enumeration & Last Sync	Enumerated: 2018-07-01 \| CMS Record Updated: 2018-07-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

330 COLONEL LEDYARD HWY, LEDYARD, CT, 06339-1910

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Plain-English Taxonomy & CMS Crosswalk (106S00000X)

What Does Taxonomy Code 106S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 106S00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Technician"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KRISTINA GEORGIAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`106S00000X` — Behavior Technician Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KRISTINA GEORGIAN (NPI #1114412236)