Andrew Golden, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000818 Issued in CT

Practice address

666 Glenbrook Rd
Stamford, CT 06906-1439

Phone

(203) 571-4985

NPI assigned

Sep 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1457835142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 AVALON DR E",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061439",
            "telephone_number": "203-571-4985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6122 Avalon Dr E",
            "address_purpose": "LOCATION",
            "city": "New Canaan",
            "state": "CT",
            "postal_code": "068405966",
            "country_code": "US",
            "telephone_number": "203-571-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "ANDREW",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Coast Rehabilitation Medicine
• Jessica Rochelle Goldberg, LMSW
• Jodie Lynn Goldberg, LMSW
• Paul Aaron Goldberg, MD
• Erica D Goldberger, M.D.
• Annicka Golding, AUD
• Robert B Goldman, D.D.S.
• Stephanie I Goldpin, MD
• Adina Goldstein, PH.D
• Melissa Klein Goldstein, M.D.

• Mental Health Counselor in Stamford, CT
• Providers in Stamford, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.