Active NPI
Christopher M Abildgaard, LPC
- Professional Counselor
- Wallingford, CT
National Provider Identifier
1942573480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002158
- Practice address
- 50 N Plains Hwy
Wallingford, CT 06492-2331 - Phone
- (203) 774-0008
- Fax
- (203) 774-0031
- NPI assigned
- Feb 14, 2012
- Last updated
- Feb 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 002158 | CT | Primary |
Addresses
Primary practice location
50 N Plains Hwy
Wallingford, CT 06492-2331
Mailing address
50 N Plains Hwy
Wallingford, CT 06492-2331
Phone (203) 774-0008
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 |
|---|---|---|---|
| 002158 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1942573480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N PLAINS HWY",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922331",
"telephone_number": "203-774-0008",
"fax_number": "203-774-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N PLAINS HWY",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922331",
"telephone_number": "203-774-0008",
"fax_number": "203-774-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABILDGAARD",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "002158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.