Active NPI
Virginia Eileen Macdonald, MA LPC
- Counselor
- Branford, CT
National Provider Identifier
1528263126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000969
- Practice address
- 7 South Main St
Branford, CT 06405 - Phone
- (203) 488-1886
- Fax
- (203) 481-7634
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000969 | CT | Primary |
Addresses
Primary practice location
7 South Main St
Branford, CT 06405
Mailing address
7 South Main St
Branford, CT 06405
Phone (203) 488-1886
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240000969CT01 | Other | CT | ANTHEM BEHAVIORAL HEALTH |
| 7066592 | Other | CT | AETNA BEHAVIORAL HEALTH |
| 376663 | Other | CT | MHN HEALTHNETS BEHAVIORAL |
Other names 1
- Ms. Gina Eileen Macdonald
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000969 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528263126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SOUTH MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "06405",
"telephone_number": "203-488-1886",
"fax_number": "203-481-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SOUTH MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "06405",
"telephone_number": "203-488-1886",
"fax_number": "203-481-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "VIRGINIA",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "000969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BEHAVIORAL HEALTH",
"identifier": "240000969CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "7066592",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN HEALTHNETS BEHAVIORAL",
"identifier": "376663",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "MACDONALD",
"middle_name": "EILEEN",
"prefix": "MS.",
"credential": "MA LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.