Kristen Shari Gayle, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5704 Issued in CT

Practice address

234 Church St Ste 301
New Haven, CT 06510-1807

Phone

(401) 294-0451

NPI assigned

Jan 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Just Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Haven, CT
  • NPI 1215709936
  NPD Authorized official
• Ricbt, Inc.

  • Clinical Psychologist
  • North Kingstown, RI
  • NPI 1780776476
  NPD

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1205390507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE E305",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524176",
            "telephone_number": "401-294-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CHURCH ST STE 301",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101807",
            "telephone_number": "401-294-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 S Highland St",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191826",
            "country_code": "US",
            "telephone_number": "860-258-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "KRISTEN",
        "middle_name": "SHARI",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5704",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anna Gaufberg, MD
• Chris Gaus, RD
• Joseph Gause, LPN
• Monika Gautam, MBBS
• Jocelyne Marie Gavin, PA-C
• Laura Gaynor
• Mark Leslie Gaynor, LCSW
• Kadian Dian Gbado, MSW
• Jaclyn Geary, RN
• Rose Anne Gedeon, MD

• Professional Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.