Active NPI
Sue Ellen Gostanian, LPC
- Professional Counselor
- Brookfield, CT
National Provider Identifier
1871520304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000111
- Practice address
- 2 Old New Milford Rd
2F
Brookfield, CT 06804-2426 - Phone
- (203) 775-2583
- Fax
- (203) 775-2863
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000111 | CT | Primary |
Addresses
Primary practice location
2 Old New Milford Rd
2F
Brookfield, CT 06804-2426
Mailing address
2 Old New Milford Rd
2F
Brookfield, CT 06804-2426
Phone (203) 775-2583
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004332774 | Other | CT | AETNA HEALTH CARE |
| 1065880000 | Other | CT | MAGELLAN HEALTH CARE |
| P1093372 | Other | CT | OXFORD HEALTH CARE |
| 018638 | Other | CT | MHN |
| 240000111CT01 | Other | CT | ABH |
| 9374982 | Other | CT | PHCS |
| 0102904 | Other | CT | GHI |
| 132249 | Other | CO | VALUE OPTIONS |
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": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871520304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 OLD NEW MILFORD RD",
"address_2": "2F",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042426",
"telephone_number": "203-775-2583",
"fax_number": "203-775-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 OLD NEW MILFORD RD",
"address_2": "2F",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042426",
"telephone_number": "203-775-2583",
"fax_number": "203-775-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSTANIAN",
"first_name": "SUE",
"middle_name": "ELLEN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "0004332774",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH CARE",
"identifier": "1065880000",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH CARE",
"identifier": "P1093372",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "018638",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABH",
"identifier": "240000111CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9374982",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0102904",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "132249",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.