Individual provider Active NPI

Christina Bierwirth, LPC

  • Counselor
  • Fairfield, CT
National Provider Identifier
1548544380
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
002063 Issued in CT
Practice address
85 Mill Plain Rd
3Rd Floor
Fairfield, CT 06824-5001
Phone
(203) 515-6296
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 002063 CT Primary

Addresses

Primary practice location

85 Mill Plain Rd
3Rd Floor
Fairfield, CT 06824-5001

Mailing address

35 Old Tavern Rd
Suite 101
Orange, CT 06477-3450
Phone (203) 515-6296

Other identifiers 1

IdentifierTypeStateIssuer
004235918MedicaidCT

Other names 1

  • Christina Yingling 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

State licenses

LicenseStateTypeSpecialty
002063CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1548544380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OLD TAVERN RD",
            "address_2": "SUITE 101",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773450",
            "telephone_number": "203-515-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MILL PLAIN RD",
            "address_2": "3RD FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245001",
            "telephone_number": "203-515-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERWIRTH",
        "first_name": "CHRISTINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "002063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "YINGLING",
            "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 Jun 6, 2016; 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.