Individual provider Active NPI

Christina Gaunya, LCSW

  • Clinical Social Worker
  • Mansfield Center, CT
National Provider Identifier
1013739424
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14572 Issued in CT
Practice address
10 Higgins Hwy Ste 12
Mansfield Center, CT 06250-1437
Phone
(888) 316-5221
Fax
(866) 203-2138
NPI assigned
Oct 28, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14572 CT Primary

Addresses

Primary practice location

10 Higgins Hwy Ste 12
Mansfield Center, CT 06250-1437

Mailing address

245 Main St
Danielson, CT 06239-2816
Phone (888) 316-5221

Other practice location 1

49 Spring Hill Road
Woodstock Valley, CT 06282
Phone (860) 450-7122 ext. 3014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001604 CT Practitioner - Clinical Social Worker 4284162934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regeneration Therapy and Counseling LLCGroup PAC ID 7719363886, 8 clinicians

Practice addresses (Care Compare)

245 Main St
Danielson, CT 06239-2816
Phone (888) 316-5221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regeneration Therapy and Counseling LLC CurrentSince Dec 31, 2024 Accepting new patients

Locations

245 Main St
Danielson, CT 06239
Phone (401) 935-3824

10 Higgins Hwy
Ste 12
Mansfield Center, CT 06250
Phone (860) 456-3772

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1013739424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MAIN ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392816",
            "telephone_number": "888-316-5221",
            "fax_number": "866-203-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY STE 12",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "888-316-5221",
            "fax_number": "866-203-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Spring Hill Road",
            "address_purpose": "LOCATION",
            "city": "Woodstock Valley",
            "state": "CT",
            "postal_code": "06282",
            "country_code": "US",
            "telephone_number": "860-450-7122 x3014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUNYA",
        "first_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Center, CT

Sources for this page

Verify at the official NPI Registry.