Gypsy Lew, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GYPSY LEW, LLC

Practice address

2069 Blush Hill Rd
Waterbury, VT 05676-9277

Phone

(802) 498-8481

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Gypsy M Lew, LCMHC

Title

Owner

Phone

(802) 498-8481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1124442959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 BLUSH HILL RD",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056769277",
            "telephone_number": "802-498-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 BLUSH HILL RD",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056769277",
            "telephone_number": "802-498-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYPSY LEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "GYPSY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-498-8481",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Waterbury, VT
• Providers in Waterbury, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.