Carolyn May Gorman, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

002318 Issued in CT

Practice address

341 West St Unit B
Plantsville, CT 06479-1140

Phone

(203) 819-0789

NPI assigned

Sep 19, 2014

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

Other names 1

• Miss Carolyn May Burgess Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: carolyn.gorman.1@28623.direct.athenahealth.com

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.

• Mindscapes Counseling PLLC

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1295130581
  NPD (past)

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1225430333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HIGH ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923169",
            "telephone_number": "860-834-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WEST ST UNIT B",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791140",
            "telephone_number": "203-819-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "CAROLYN",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002318",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "002318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://tidesofmindcounseling.com/",
            "affiliation": "N",
            "endpointDescription": "Practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact info for practice",
            "address_1": "341 West St Unit B",
            "city": "Plantsville",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064791140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BURGESS",
            "middle_name": "MAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• J. Barden Fuller, DDS
• Susan Marie Gagnon, MSW, LCSW
• Nicholas Thomas Gallucci, PH.D.
• Gentle Reflections Counseling and Wellness, LLC
• Agatha Giliberto, APRN
• Anne Graikoski
• Kevin Patrick Greene, MD
• Greenharmony Counseling, LCC
• Denise Ann Grodzicki, LPC
• Alexa Grumet-Ford

• Counselor in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.