Nicholas Gaughan, LPC
Counselor, Professional in Griswold, Connecticut
1093071136- Practice location
- 70 Main St, Griswold, CT 06351-2226
- Phone
- 860-634-0967
- Fax
- —
- Last updated
- December 1, 2020
Nicholas Gaughan is a Counselor, Professional based in Griswold, CT. Nicholas Gaughan practices in Griswold, CT and has the professional credentials of LPC. The NPI Number for Nicholas Gaughan is 1093071136 and holds a License No. 001066 (CT). The current practice location address for Nicholas Gaughan is 70 Main St, Griswold, CT 06351-2226 and can be reached out via phone at 860-634-0967.
Provider Profile Details
- NPI Number
- 1093071136
- Provider Name
- Nicholas Gaughan
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 70 Main St, Griswold, CT 06351-2226
- Phone Number
- 860-634-0967
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 3, 2012
- Last Update Date
- December 1, 2020
- Certification Date
- December 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Main St
Griswold, CT 06351-2226 - City
- Griswold
- State
- Connecticut
- Zip
- 06351-2226
- Phone Number
- 860-634-0967
Provider Business Mailing Address Details
- Address
- Po Box 296
Rogers, CT 06263-0296 - City
- Rogers
- State
- CT
- Zip
- 06263-0296
- Phone Number
- 860-634-0967
License Information
- License Number (1)
- 001066
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 2682
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicholas Gaughan, LPC?
The NPI number of Nicholas Gaughan, LPC is 1093071136. It was assigned on April 3, 2012 and is currently active in the NPPES registry.
What is the specialty of Nicholas Gaughan, LPC?
Nicholas Gaughan, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 001066.
Where does Nicholas Gaughan, LPC practice?
The practice location is 70 Main St, Griswold, CT 06351-2226. The office can be reached at 860-634-0967 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093071136 directly on the NPPES registry website.