Individual provider Active NPI

Hannah Michele Gavios

  • Mental Health Counselor
  • Ridgewood, NY
National Provider Identifier
1174372460
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
176 Woodward Ave Apt 329
Ridgewood, NY 11385-1377
Phone
(917) 749-7511
NPI assigned
May 17, 2024
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

176 Woodward Ave Apt 329
Ridgewood, NY 11385-1377

Mailing address

176 Woodward Ave Apt 329
Ridgewood, NY 11385-1377
Phone (917) 749-7511

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

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1174372460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 WOODWARD AVE APT 329",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851377",
            "telephone_number": "917-749-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WOODWARD AVE APT 329",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851377",
            "telephone_number": "917-749-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIOS",
        "first_name": "HANNAH",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.