Active NPI
Gaia Counseling Center LLC
- Clinical Social Worker
- West Newbury, MA
National Provider Identifier
1023747680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GAIA COUNSELING CENTER LLC
- Practice address
- 325 Main St
West Newbury, MA 01985-1418 - Phone
- (978) 270-6985
- NPI assigned
- Jun 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Mayo, LICSW, MSW
- Title
- Provider/Owner
- Phone
- (978) 270-6985
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
325 Main St
West Newbury, MA 01985-1418
Mailing address
325 Main St
West Newbury, MA 01985-1418
Phone (978) 270-6985
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Peabody, MA
- NPI 1447805700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654646400000",
"number": "1023747680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAIN ST",
"city": "WEST NEWBURY",
"state": "MA",
"postal_code": "019851418",
"telephone_number": "978-270-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MAIN ST",
"city": "WEST NEWBURY",
"state": "MA",
"postal_code": "019851418",
"telephone_number": "978-270-6985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAIA COUNSELING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A",
"authorized_official_last_name": "MAYO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "978-270-6985",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LICSW, MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Newbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.