Individual provider Active NPI

Lynn Johnson-Gleaton, LPC

  • Counselor
  • Phila, PA
National Provider Identifier
1033137419
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC004118 Issued in PA
Practice address
7203 Pittville Ave
Phila, PA 19126-1526
Phone
(215) 713-0590
Fax
(215) 713-0590
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC004118 PA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X PC004118 PA
Mental Health Counselor 101YM0800X PC004118 PA

Addresses

Primary practice location

7203 Pittville Ave
Phila, PA 19126-1526

Mailing address

7203 Pittville Ave
Phila, PA 19126-1526
Phone (215) 713-0590

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
PC004118PAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1033137419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 PITTVILLE AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191261526",
            "telephone_number": "215-713-0590",
            "fax_number": "215-713-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 PITTVILLE AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191261526",
            "telephone_number": "215-713-0590",
            "fax_number": "215-713-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-GLEATON",
        "first_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC004118",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC004118",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.