Gwendolyn Elaine Hayes, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009786 Issued in CT

Practice address

35 Talcottville Rd Ste 10
Vernon, CT 06066-5261

Phone

(860) 558-2554

NPI assigned

Sep 27, 2017

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1073022513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE ROAD, #1031",
            "address_2": "SUITE 10",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663600",
            "telephone_number": "860-558-2554",
            "fax_number": "860-454-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD STE 10",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261",
            "telephone_number": "860-558-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "GWENDOLYN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-11-08",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "009786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008075847",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Harlow, MS, RD, CD
• Tyler Harrington
• Dayna B Haskins
• David Hatch, M.D.
• Leslie Paige Haun, LMFT
• Kimberly L Hayes, PA-C
• Healthwise Medical Associates, LLP
• Kylie Heavisides
• Ali Hemacha, MD
• John Francis Hennessey, LCSW

• Mental Health Counselor in Vernon, CT
• Providers in Vernon, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.