Active NPI
Janis Herlth Gifford, MSW, LPC, NBCC
- Professional Counselor
- Monroe, CT
National Provider Identifier
1720323165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001908
- Practice address
- 423 Main Street
Stepney Baptist Church
Monroe, CT 06468 - Phone
- (203) 255-3401
- Fax
- (203) 268-1621
- NPI assigned
- Dec 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001908 | CT | |
| Professional Counselor | 101YP2500X | 001908 | CT | Primary |
Addresses
Primary practice location
423 Main Street
Stepney Baptist Church
Monroe, CT 06468
Mailing address
423 Main Street
Stepney Baptist Church
Monroe, CT 06468
Phone (203) 255-3401
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001908 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1720323165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 MAIN STREET",
"address_2": "STEPNEY BAPTIST CHURCH",
"city": "MONROE",
"state": "CT",
"postal_code": "06468",
"telephone_number": "203-255-3401",
"fax_number": "203-268-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 MAIN STREET",
"address_2": "STEPNEY BAPTIST CHURCH",
"city": "MONROE",
"state": "CT",
"postal_code": "06468",
"telephone_number": "203-255-3401",
"fax_number": "203-268-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "JANIS",
"middle_name": "HERLTH",
"name_prefix": "Mrs.",
"credential": "MSW, LPC, NBCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "001908",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.