Individual provider Active NPI

Gwen Zarkowkski, LSW

  • Mental Health Counselor
  • Doylestown, PA
National Provider Identifier
1457423030
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW010775L Issued in PA
Practice address
5175 Cold Spring Creamery Rd
Doylestown, PA 18901-6228
Phone
(215) 348-9640
Fax
(215) 914-1663
NPI assigned
Nov 15, 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 SW010775L PA Primary

Addresses

Primary practice location

5175 Cold Spring Creamery Rd
Doylestown, PA 18901-6228

Mailing address

213 Drake LN
North Wales, PA 19454-1650
Phone (215) 538-7454

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW010775LPAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457423030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 DRAKE LN",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541650",
            "telephone_number": "215-538-7454",
            "fax_number": "215-914-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 COLD SPRING CREAMERY RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189016228",
            "telephone_number": "215-348-9640",
            "fax_number": "215-914-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARKOWKSKI",
        "first_name": "GWEN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW010775L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.