Tara C Gutgesell Ma LPC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003600 Issued in PA

Legal business name

TARA C GUTGESELL MA LPC LLC

Practice address

1407 Bethlehem Pike FL 2
Flourtown, PA 19031-1946

Phone

(215) 836-1934

NPI assigned

May 26, 2017

Last updated

Sep 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara C Gutgesell, MA, LPCNPI 1306099601

Title

Licensed Professional Counselor

Phone

(215) 836-1934

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara C. Gutgesell, MA, LPC

  • Professional Counselor
  • Lafayette Hill, PA
  • NPI 1306099601
  NPD Authorized official

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726963200000",
    "number": "1083142608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BETHLEHEM PIKE FL 2",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311946",
            "telephone_number": "215-836-1934",
            "fax_number": "215-836-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 BETHLEHEM PIKE FL 2",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311946",
            "telephone_number": "215-836-1934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "Lafayette Hill",
            "state": "PA",
            "postal_code": "194441641",
            "country_code": "US",
            "telephone_number": "610-825-1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TARA C GUTGESELL MA LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "GUTGESELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "215-836-1934",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.