Individual provider Active NPI

Olivia Glenn McGuffog, LPC

  • Professional Counselor
  • Fairfield, CT
National Provider Identifier
1477253185
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5596 Issued in CT
Practice address
1201 Kings Hwy Ste 2
Fairfield, CT 06824-5319
Phone
(203) 807-4174
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5596 CT Primary

Addresses

Primary practice location

1201 Kings Hwy Ste 2
Fairfield, CT 06824-5319

Mailing address

1201 Kings Hwy Ste 2
Fairfield, CT 06824-5319
Phone (203) 807-4174

Other names 1

  • Ms. Olivia Glenn Hammer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1477253185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 KINGS HWY STE 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245319",
            "telephone_number": "203-807-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KINGS HWY STE 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245319",
            "telephone_number": "203-807-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUFFOG",
        "first_name": "OLIVIA",
        "middle_name": "GLENN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "HAMMER",
            "middle_name": "GLENN",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.