Katherine Ann Golan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3536 Issued in CT

Practice address

49 Whitehall Ave
Mystic, CT 06355-1966

Phone

(860) 961-5702

NPI assigned

Nov 23, 2011

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Child and Family Agency of Southeastern Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1093762114
  NPD (past)
• Child and Family Agency of Southeastern Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1679614242
  NPD (past)
• Coastal Therapy, LLC

  • Professional Counselor
  • Groton, CT
  • NPI 1437714730
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1235406935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N STONINGTON RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553608",
            "telephone_number": "860-614-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WHITEHALL AVE",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551966",
            "telephone_number": "860-961-5702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "482 Lake Ave",
            "address_2": "Unit 8",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060107343",
            "country_code": "US",
            "telephone_number": "860-614-3548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Granite St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063205730",
            "country_code": "US",
            "telephone_number": "860-437-4550",
            "fax_number": "860-437-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLAN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne M Gilbert, P.T.
• Robert E. Gilbert
• Victoria Gilliard
• Glow Up Therapy
• Marguerite Godfrey
• Groton Board of Education
• Grounded Therapy & Coaching
• Nathan Christopher Hahn, BCBA, LBA
• Karen Lucille Hanscom, PHD
• Natanielle Rae Hatfield, BCBA

• Professional Counselor in Mystic, CT
• Providers in Mystic, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.