Gary Bass, LPC
Individual provider Active NPI Professional Counselor · Staunton, VA
NPI 1053564930 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1053564930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701004465 (VA)
- Practice address
- 85 Sangers LN
Staunton, VA 24401-6712 - Phone
- (540) 887-3200
- Fax
- (540) 887-3240
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 0701004465 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004465 | VA | Yes |
Addresses
Primary practice location
85 Sangers LN
Staunton, VA 24401-6712
Mailing address
85 Sangers LN
Staunton, VA 24401-6712
Phone (540) 887-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945336 | Medicaid | VA |
Other providers in Staunton, VA
- Kami Barbour
- Barry L Munsey
- Barry L Munsey, PLC
- Lou Gene Bartram
- Keyan Bashiri
- Harry Clark Bates III
- Scott Beach
- Benchmark Physical Therapy of VA, LLC
- Luanne Faye Bender Long
- Marna Bentley
All providers in Staunton, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. 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.