Active NPI
Austin Gleaton
- Mental Health Counselor
- Bridgeport, CT
National Provider Identifier
1023629433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006640
- Practice address
- 1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710 - Phone
- (646) 941-7645
- Fax
- (929) 596-7897
- NPI assigned
- Aug 11, 2020
- Reactivated
- Jan 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006640 | CT | Primary |
Addresses
Primary practice location
1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
Mailing address
1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
Phone (646) 941-7645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006640 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Counseling, LLC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1023629433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LAFAYETTE BLVD STE 1100",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044710",
"telephone_number": "646-941-7645",
"fax_number": "929-596-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LAFAYETTE BLVD STE 1100",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044710",
"telephone_number": "646-941-7645",
"fax_number": "929-596-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEATON",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-11",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"deactivation_date": "2025-01-20",
"reactivation_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "006640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.