Active NPI
Healing Grove Counseling LLC
- Professional Counselor
- Lakewood, PA
National Provider Identifier
1104710169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- HEALING GROVE COUNSELING LLC
- Practice address
- 18 Como Rd
Lakewood, PA 18439-3971 - Phone
- (570) 470-5730
- NPI assigned
- Jun 4, 2025
- Last updated
- Jun 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Gill, LPC, LBS
- Title
- Licensed Professional Counselor
- Phone
- (570) 470-5730
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
18 Como Rd
Lakewood, PA 18439-3971
Mailing address
182 Rose Hill Rd
Lake Como, PA 18437-1007
Phone (570) 470-5730
National Provider Directory
National Provider DirectoryLocations
18 Como Rd
Lakewood, PA 18439
Phone (570) 470-5730
Practitioners & affiliated clinicians
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.
-
- Professional Counselor
- Honesdale, PA
- NPI 1972249621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1104710169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 ROSE HILL RD",
"city": "LAKE COMO",
"state": "PA",
"postal_code": "184371007",
"telephone_number": "570-470-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 COMO RD",
"city": "LAKEWOOD",
"state": "PA",
"postal_code": "184393971",
"telephone_number": "570-470-5730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING GROVE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "570-470-5730",
"authorized_official_credential": "LPC, LBS"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.