Active NPI
George E Pipkin III, LPC
- Professional Counselor
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 003403
- Practice address
- 109 Legion Ave
New Haven, CT 06519-5506 - Phone
- (203) 562-2264
- Fax
- (203) 789-1335
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 003403 | CT | Primary |
Addresses
Primary practice location
109 Legion Ave
New Haven, CT 06519-5506
Mailing address
109 Legion Ave
New Haven, CT 06519-5506
Phone (203) 562-2264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Main St
Bridgeport, CT 06606-5323
Phone (203) 362-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003403 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellbeing Counseling Services LLC | Professional | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Single Specialty | Current | Accepting new patients |
| SVMC Holdings, Inc | Single Specialty | Past | Accepting new patients |
Locations
2400 Main St
Bridgeport, CT 06606
Phone (203) 362-3900
1 Lois St
Norwalk, CT 06851
Phone (203) 221-8893
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Single Specialty
-
- Professional Counselor
- Bridgeport, CT
- NPI 1215510334
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1326507203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 LEGION AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065195506",
"telephone_number": "203-562-2264",
"fax_number": "203-789-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 LEGION AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065195506",
"telephone_number": "203-562-2264",
"fax_number": "203-789-1335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPKIN",
"first_name": "GEORGE",
"middle_name": "E",
"name_suffix": "III",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CT",
"license": "003403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.