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NICHOLAS GAUGHAN LPC
NPI 1093071136
Counselor - Professional in Griswold, CT

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment
70 MAIN ST, GRISWOLD, CT 06351(860) 634-0967 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 1, 2020, Aug 26, 2016 (2 updates tracked since 2016).

About Nicholas Gaughan Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS GAUGHAN LPC (NPI 1093071136) is an individual professional provider in Griswold, Connecticut, licensed in Connecticut (2682) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093071136
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLAS GAUGHANCredential: LPC
Location Address70 MAIN STGriswold, CT 06351-2226
Mailing AddressPo Box 296Rogers, CT 06263-0296 · (860) 634-0967
Phone(860) 634-0967
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 3, 2012
Last NPPES UpdateDecember 1, 20202 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1093071136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 2682
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 001066 (CT)
70 MAIN ST, Griswold, CT 06351
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Other Identifiers 2

Other1066CT · Ladc
Other2682CT · Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Gaughan Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890138317
PECOS Enrollment IDI20240212001664
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KARLEIGH CHASE
Counselor (Mental Health)
70 MAIN ST
GRISWOLD, CT 06351
Southeastern Connecticut Planning Region (860) 303-9760
JOURNEY TO YOU, LLC
Counselor (Professional)
70 MAIN ST
JEWETT CITY, CT 06351
Southeastern Connecticut Planning Region (860) 917-4631
LIFE'S JOURNEY COUNSELING LLC
Counselor
70 MAIN ST
GRISWOLD, CT 06351
Southeastern Connecticut Planning Region (860) 634-0967
DR. ERIC O'CONNOR APRN, DNP
Nurse Practitioner (Adult Health)
70 MAIN ST
JEWETT CITY, CT 06351
Southeastern Connecticut Planning Region (860) 376-7040
MILDRED WESSNER LMSW
Social Worker
70 MAIN ST
GRISWOLD, CT 06351
Southeastern Connecticut Planning Region (860) 303-9760
LESLIE ANNE STASKO LPC-A
Counselor (Mental Health)
70 MAIN ST
GRISWOLD, CT 06351
Southeastern Connecticut Planning Region (860) 303-9760
TIFFANY MARIE MORTON LADC,LPC
Counselor (Addiction (Substance Use Disorder))
70 MAIN ST
GRISWOLD, CT 06351
Southeastern Connecticut Planning Region (860) 303-9760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Gaughan's NPI number?

The NPI number for Nicholas Gaughan is 1093071136. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Nicholas Gaughan located?

Nicholas Gaughan practices at 70 Main St, Griswold, CT 06351. The listed phone number is (860) 634-0967.

What is Nicholas Gaughan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicholas Gaughan enrolled in Medicare?

Yes. Nicholas Gaughan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Gaughan accept?

Health plans from Providence Health Plan list Nicholas Gaughan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Gaughan was last updated on December 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.