Active NPI
GMT Wellness LLC
- Counselor
- Bryn Mawr, PA
National Provider Identifier
1205694759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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, 2024
- 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
- Gretchen Tucker, LPC, ATR-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.