Elianna Altagracia Aguirre
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bangor, PA
NPI 1013747690 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1013747690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 109 Broadway
Bangor, PA 18013-2505 - Phone
- (610) 599-7700
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC002023 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Revolution, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes | ||
| Mental Health Counselor | 101YM0800X | APC002023 | PA |
Addresses
Primary practice location
109 Broadway
Bangor, PA 18013-2505
Mailing address
92A Garibaldi Ave
Roseto, PA 18013-1328
Phone (201) 253-5116
Other practice location 1
221 W High St Ste 300
Bellefonte, PA 16823-1351
Phone (814) 380-9442
Other providers in Bangor, PA
- A Healing Path Counseling LLC
- Carly Marie Ackerman
- Stephanie Grace Ackerman
- Jennifer Cambi Akob
- Clarissa M. Alves
- Melissa Amator
- Amber Petchonka
- Gregory Vaughan Appleton
All providers in Bangor, PA · Addiction (Substance Use Disorder) Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.