Gina M Peccia, Ma, LPC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00361000 Issued in NJ

Legal business name

GINA M PECCIA, MA, LPC LLC

Practice address

2021 New Rd Ste 12B
Linwood, NJ 08221-1045

NPI assigned

Apr 25, 2012

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Marie Peccia, LPCNPI 1417154899

Title

Owner

Phone

(609) 204-9940

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Gina M Peccia, LPC

  • Mental Health Counselor
  • Linwood, NJ
  • NPI 1417154899
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1316205560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 NEW RD STE 12B",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211045",
            "telephone_number": "609-204-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NEW RD STE 12B",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA M PECCIA, MA, LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "PECCIA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-204-9940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00361000",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kim P Glassey, PTA
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• Laura M Goellner, OT
• Diane Goldblum-Graff, MSN, APN, BC
• Paige Golden, DPT

• Professional Counselor in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.