Organization Active NPI

GJ Harbilas LCSW Counseling

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1265829832
Registry record updated May 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005729 Issued in CT
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

Updated by the provider on May 30, 2015

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1770756934OtherCTAPPLICATION FOR NPI 2 PRIVATE PRACTICE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.