Active NPI
Gilbert K Ghong, LPCC
- Professional Counselor
- Lake Elmo, MN
National Provider Identifier
1164061420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4358
- Practice address
- 8550 Hudson Blvd N
Lake Elmo, MN 55042-5500 - Phone
- (651) 254-8580
- NPI assigned
- Jan 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | 4358 | MN | Primary |
Addresses
Primary practice location
8550 Hudson Blvd N
Lake Elmo, MN 55042-5500
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 746-2392
Other practice location 1
1520 Granada Ave N Apt 104
Oakdale, MN 55128-4238
Phone (651) 246-6202
Other practice location 2
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 746-2392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1164061420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW STE 110",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121789",
"telephone_number": "651-746-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 HUDSON BLVD N",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550425500",
"telephone_number": "651-254-8580"
}
],
"practiceLocations": [
{
"address_1": "1520 Granada Ave N Apt 104",
"address_purpose": "LOCATION",
"city": "Oakdale",
"state": "MN",
"postal_code": "551284238",
"country_code": "US",
"telephone_number": "651-246-6202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Silver Lake Rd NW Ste 110",
"address_purpose": "LOCATION",
"city": "New Brighton",
"state": "MN",
"postal_code": "551121789",
"country_code": "US",
"telephone_number": "651-746-2392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHONG",
"first_name": "GILBERT",
"middle_name": "K",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-03",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "4358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elmo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.