Bonnie L Gross, M.S., M.A.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT000179-L Issued in PA

Practice address

452 S Franklin St
Titusville, PA 16354-2246

Phone

(814) 827-6648

Fax

(814) 827-0206

NPI assigned

Nov 16, 2006

Last updated

Nov 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

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.

• Bonnie Gross, Ma, LPC

  • Professional Counselor
  • Titusville, PA
  • NPI 1033686415
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1467525659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 S FRANKLIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542246",
            "telephone_number": "814-827-6648",
            "fax_number": "814-827-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 S FRANKLIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542246",
            "telephone_number": "814-827-6648",
            "fax_number": "814-827-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "BONNIE",
        "middle_name": "L",
        "credential": "M.S., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009990",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000179-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01651983",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Galkowski, PT
• Luke Anthony Gardner, DO
• Karri L German, PHDHP
• Giant Eagle, Inc. (Giant Eagle Pharmacy #0088)
• Kelley Groese
• Guardian Elder Care at Titusville LLC (Titusville Healthcare and Rehabilitation Center)
• Andrew Gunn, PA-C
• Terrie Gwin, CRNP
• Taylor Heasley, LPC
• Brandi Hudson, CRNP

• Audiologist in Titusville, PA
• Providers in Titusville, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.