Individual provider Active NPI

Karen Dashiff Gilovich, M.S., L.C.S.W.

  • Mental Health Counselor
  • Ithaca, NY
National Provider Identifier
1356410575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R058212-1 Issued in NY
Practice address
111 Oak Hill Rd
Ithaca, NY 14850-2325
Phone
(607) 257-3787
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R058212-1 NY Primary

Addresses

Primary practice location

111 Oak Hill Rd
Ithaca, NY 14850-2325

Mailing address

111 Oak Hill Rd
Ithaca, NY 14850-2325
Phone (607) 257-3787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221001679 NY Practitioner - Clinical Social Worker 8224339007 Practice locations: Ithaca, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Oak Hill Rd
Ithaca, NY 14850-2325
Phone (607) 257-3787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R058212-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356410575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAK HILL RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502325",
            "telephone_number": "607-257-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OAK HILL RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502325",
            "telephone_number": "607-257-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILOVICH",
        "first_name": "KAREN",
        "middle_name": "DASHIFF",
        "name_prefix": "Ms.",
        "credential": "M.S., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R058212-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.