Individual provider Active NPI

Georgette Campano Campano Wood, LPC MENTAL HEALTH CO

  • Mental Health Counselor
  • Branford, CT
National Provider Identifier
1902949886
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001237 Issued in CT
Practice address
250 West Main St
Suite 14
Branford, CT 06405-4032
Phone
(203) 480-3757
Fax
(203) 481-9536
NPI assigned
Feb 14, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001237 CT Primary
Professional Counselor 101YP2500X 001237 CT

Addresses

Primary practice location

250 West Main St
Suite 14
Branford, CT 06405-4032

Mailing address

250 West Main St
Suite 14
Branford, CT 06405-4032
Phone (203) 480-3757

Other names 1

  • Georgette Campano Wood Other 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
001237CTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902949886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WEST MAIN ST",
            "address_2": "SUITE 14",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054032",
            "telephone_number": "203-480-3757",
            "fax_number": "203-481-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WEST MAIN ST",
            "address_2": "SUITE 14",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054032",
            "telephone_number": "203-480-3757",
            "fax_number": "203-481-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANO WOOD",
        "first_name": "GEORGETTE",
        "middle_name": "CAMPANO",
        "credential": "LPC MENTAL HEALTH CO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001237",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGETTE",
            "last_name": "WOOD",
            "middle_name": "CAMPANO",
            "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 Sep 11, 2025; 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.