Organization Active NPI

GMT Wellness LLC

  • Counselor
  • Bryn Mawr, PA
National Provider Identifier
1205694759
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GMT WELLNESS LLC
Practice address
23 Prospect Ave Apt 1
Bryn Mawr, PA 19010-2604
Phone
(860) 933-8345
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Gretchen Tucker, LPC, ATR-BCNPI 1386144806
Title
Director and Lead Clinician
Phone
(860) 933-8345

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Professional Counselor 101YP2500X NU
Art Therapist 221700000X NU

Addresses

Primary practice location

23 Prospect Ave Apt 1
Bryn Mawr, PA 19010-2604

Mailing address

23 Prospect Ave Apt 1
Bryn Mawr, PA 19010-2604
Phone (860) 933-8345

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1205694759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PROSPECT AVE APT 1",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102604",
            "telephone_number": "860-933-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PROSPECT AVE APT 1",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102604",
            "telephone_number": "860-933-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "DIRECTOR AND LEAD CLINICIAN",
        "authorized_official_telephone_number": "860-933-8345",
        "authorized_official_credential": "LPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.