Organization Active NPI

Carrie Gordon-Land Counseling Services, LLC

  • Mental Health Counselor
  • Westport, CT
National Provider Identifier
1447642541
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000468 Issued in CT
Legal business name
CARRIE GORDON-LAND COUNSELING SERVICES, LLC
Practice address
120 Post Rd W
Suite 102C
Westport, CT 06880-4206
Phone
(203) 227-2724
Fax
(203) 256-9999
NPI assigned
Feb 26, 2015
Last updated
Feb 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Ms. Carrie W Gordon-Land, LPC, NBCCNPI 1932189891
Title
Principal
Phone
(203) 227-2724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000468 CT Primary

Addresses

Primary practice location

120 Post Rd W
Suite 102C
Westport, CT 06880-4206

Mailing address

120 Post Rd W
Suite 102C
Westport, CT 06880-4206
Phone (203) 227-2724

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1447642541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 POST RD W",
            "address_2": "SUITE 102C",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804206",
            "telephone_number": "203-227-2724",
            "fax_number": "203-256-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 POST RD W",
            "address_2": "SUITE 102C",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804206",
            "telephone_number": "203-227-2724",
            "fax_number": "203-256-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE GORDON-LAND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "GORDON-LAND",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "203-227-2724",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NBCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000468",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 26, 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.