MR. RICHARD MICHAEL GORMAN III LPC
NPI 1851863294
Counselor - Professional in Derby, CT

Active since December 26, 2018PECOS Enrolled
18 COMMODORE HULL DR, DERBY, CT 06418(860) 830-7967 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Richard Michael Gorman Iii Lpc NPPES

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

MR. RICHARD MICHAEL GORMAN III LPC (NPI 1851863294) is an individual professional provider in Derby, Connecticut, licensed in Connecticut (003630) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851863294
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. RICHARD MICHAEL GORMAN IIICredential: LPC
Location Address18 COMMODORE HULL DRDerby, CT 06418-2255
Mailing Address18 Commodore Hull DrDerby, CT 06418-2255 · (860) 830-7967
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 26, 2018
NPI 1851863294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 003630
18 COMMODORE HULL DR, Derby, CT 06418

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Richard Michael Gorman Iii Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880045368
PECOS Enrollment IDI20240109002862
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.

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 Richard Gorman's NPI number?

The NPI number for Richard Gorman is 1851863294. It was assigned to this individual provider in the NPPES registry on December 26, 2018.

Where is Richard Gorman located?

Richard Gorman practices at 18 Commodore Hull Dr, Derby, CT 06418. The listed phone number is (860) 830-7967.

What is Richard Gorman's specialty?

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

Is Richard Gorman enrolled in Medicare?

Yes. Richard Gorman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Gorman was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.