Active NPI
GJ Harbilas LCSW Counseling
- Clinical Social Worker
- Westport, CT
National Provider Identifier
1265829832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005729
- Legal business name
- GJ HARBILAS LCSW COUNSELING
- Practice address
- 728 Post Rd E
Suite 205
Westport, CT 06880-5200 - Phone
- (203) 557-9333
- Fax
- (203) 557-9332
- NPI assigned
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory J Harbilas, LCSW
- Title
- Owner
- Phone
- (203) 557-9333
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005729 | CT | Primary |
| Preferred Provider Organization | 305R00000X | 005729 | CT |
Addresses
Primary practice location
728 Post Rd E
Suite 205
Westport, CT 06880-5200
Mailing address
728 Post Rd E
Suite 205
Westport, CT 06880-5200
Phone (203) 557-9333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770756934 | Other | CT | APPLICATION FOR NPI 2 PRIVATE PRACTICE |
National Provider Directory
National Provider DirectoryLocations
728 Post Rd E
Ste 205
Westport, CT 06880
Phone (203) 557-9333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432944000000",
"number": "1265829832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 POST RD E",
"address_2": "SUITE 205",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068805200",
"telephone_number": "203-557-9333",
"fax_number": "203-557-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 POST RD E",
"address_2": "SUITE 205",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068805200",
"telephone_number": "203-557-9333",
"fax_number": "203-557-9332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GJ HARBILAS LCSW COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2015-05-30",
"status": "A",
"authorized_official_last_name": "HARBILAS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-557-9333",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005729",
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CT",
"license": "005729",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLICATION FOR NPI 2 PRIVATE PRACTICE",
"identifier": "1770756934",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.