Individual provider Active NPI

Jillian P Gratz, MA, NCC, LAPC

  • Mental Health Counselor
  • Mayfield, PA
National Provider Identifier
1457100596
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC000033 Issued in PA
Practice address
1300 Old Plank Rd Ste 800
Mayfield, PA 18433-1973
Phone
(570) 878-3833
NPI assigned
May 13, 2024
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 APC000033 PA Primary

Addresses

Primary practice location

1300 Old Plank Rd Ste 800
Mayfield, PA 18433-1973

Mailing address

200 Academy St Apt 105
Moscow, PA 18444-9000
Phone (570) 877-2409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 10, 2026 through Jun 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APC000033PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Collective PLLC Current Accepting new patients

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, 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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1457100596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ACADEMY ST APT 105",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449000",
            "telephone_number": "570-877-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OLD PLANK RD STE 800",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184331973",
            "telephone_number": "570-878-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATZ",
        "first_name": "JILLIAN",
        "middle_name": "P",
        "credential": "MA, NCC, LAPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC000033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, PA

Sources for this page

Verify at the official NPI Registry.