Organization Active NPI

Mmgcounseling LLC

  • Clinical Social Worker
  • Woodbury, CT
National Provider Identifier
1306541156
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MMGCOUNSELING LLC
Practice address
1 Sherman Hill Rd Ste 2W
Woodbury, CT 06798-3699
Phone
(203) 305-0299
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica Gilson, LCSWNPI 1053611673
Title
Owner
Phone
(203) 305-0299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1 Sherman Hill Rd Ste 2W
Woodbury, CT 06798-3699

Mailing address

38 Osborne Hill Rd
Sandy Hook, CT 06482-1500
Phone (203) 305-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230501001979 CT Part B Supplier - Clinic/Group Practice 8123483930 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, CT

National Provider Directory

National Provider Directory

Locations

1449 Old Waterbury Rd
Ste 204
Southbury, CT 06488
Phone (203) 305-0299

1 Sherman Hill Rd
Woodbury, CT 06798
Phone (203) 305-0299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1306541156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OSBORNE HILL RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821500",
            "telephone_number": "203-305-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHERMAN HILL RD STE 2W",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983699",
            "telephone_number": "203-305-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMGCOUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "GILSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-305-0299",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.