Active NPI
Dona Gavlick, LPC
- Professional Counselor
- Cooper, TX
National Provider Identifier
1265994883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77901
- Practice address
- 161 E Dallas Ave
Cooper, TX 75432-2042 - Phone
- (903) 456-6720
- NPI assigned
- Apr 2, 2019
- Last updated
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77901 | TX | Primary |
Addresses
Primary practice location
161 E Dallas Ave
Cooper, TX 75432-2042
Mailing address
901 W Kaufman Ave
Cooper, TX 75432-3729
Phone (903) 456-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250410001703 | TX | Practitioner - Mental Health Counselor | 8628592722 | Practice locations: Cooper, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
161 E Dallas Ave
Cooper, TX 75432-2042
Phone (903) 456-6720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77901 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1265994883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W KAUFMAN AVE",
"city": "COOPER",
"state": "TX",
"postal_code": "754323729",
"telephone_number": "903-456-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 E DALLAS AVE",
"city": "COOPER",
"state": "TX",
"postal_code": "754322042",
"telephone_number": "903-456-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVLICK",
"first_name": "DONA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cooper, TX
- Cooper I Enterprises, L.L.C. (Birchwood Nursing & Rehabilitation)
- Cooper Isd
- Artessa Fontamillas De Leon
- Essent PRMC LP (Cooper Health Clinic)
- Fannin County Hospital Authority (Birchwood Nursing & Rehabilitation)
- Coleton Harrington, PTA
- Deborah S Hughes, APN
- Macy F Inmon, DDS
- Jonathan Janes
- Emily Frances Land
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.