Active NPI
Gail Anne Vivian, LMHC
- Mental Health Counselor
- Springfield, MA
National Provider Identifier
1205929619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6065
- Practice address
- 503 State St
Springfield, MA 01109-4101 - Phone
- (413) 733-6661
- NPI assigned
- Sep 30, 2006
- Sex
- Female
- 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 | 6065 | MA | Primary |
Addresses
Primary practice location
503 State St
Springfield, MA 01109-4101
Mailing address
23 State St
2ND Floor
Westfield, MA 01085-3868
Phone (413) 572-1407
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 |
|---|---|---|---|
| 6065 | MA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205929619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 STATE ST",
"address_2": "2ND FLOOR",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010853868",
"telephone_number": "413-572-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 STATE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011094101",
"telephone_number": "413-733-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVIAN",
"first_name": "GAIL",
"middle_name": "ANNE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.