Individual provider Active NPI

David A Gorko, MA

  • Professional Counselor
  • Penndel, PA
National Provider Identifier
1396574984
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017272 Issued in PA
Practice address
1517 Durham Rd
Penndel, PA 19047-5707
Phone
(215) 752-1541
NPI assigned
Jul 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 PC017272 PA Primary

Addresses

Primary practice location

1517 Durham Rd
Penndel, PA 19047-5707

Mailing address

2555 Welsh Rd Apt 316
Philadelphia, PA 19114-3212
Phone (484) 300-6945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC017272PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Penndel Mental Health Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

2080 Cabot Blvd W
Ste 100
Langhorne, PA 19047
Phone (267) 587-2390

2005 Cabot Blvd W
Ste 100
Langhorne, PA 19047
Phone (267) 587-2300

1517 Durham Rd
Penndel, PA 19047
Phone (215) 752-1541

919 Durham Rd
Penndel, PA 19047
Phone (215) 750-7060

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1396574984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 WELSH RD APT 316",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143212",
            "telephone_number": "484-300-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 DURHAM RD",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190475707",
            "telephone_number": "215-752-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORKO",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penndel, PA

Sources for this page

Verify at the official NPI Registry.