Individual provider Active NPI

Gina Manno-Mitchell, MS

  • Professional Counselor
  • Bensalem, PA
National Provider Identifier
1356949820
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012331 Issued in PA
Practice address
800 Clarmont Ave
Bensalem, PA 19020-5705
Phone
(267) 525-7001
NPI assigned
Oct 15, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012331 PA Primary

Addresses

Primary practice location

800 Clarmont Ave
Bensalem, PA 19020-5705

Mailing address

3438 Central Ave
Huntingdon Valley, PA 19006-4129
Phone (215) 805-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241010004135 PA Practitioner - Mental Health Counselor 3779015060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

500 N W St
Doylestown, PA 18901-2366
Phone (215) 345-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doylestown Counseling Associates Professional CurrentSince Sep 12, 2024 Accepting new patients
Insight Based Change, LLC CurrentSince Sep 12, 2024 Accepting new patients
Lenape Valley Foundation CurrentSince Oct 6, 2025 Accepting new patients
Lenape Valley Foundation Professional CurrentSince Oct 6, 2025 Accepting new patients
Lenape Valley Foundation Professional Current Accepting new patients

Locations

252 W Swamp Rd
Ste 36
Doylestown, PA 18901
Phone (215) 313-7278

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1356949820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 CENTRAL AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064129",
            "telephone_number": "215-805-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CLARMONT AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205705",
            "telephone_number": "267-525-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNO-MITCHELL",
        "first_name": "GINA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.