Active NPI
Anna A Gaitanos, M.ED. LPC
- Professional Counselor
- Stroudsburg, PA
National Provider Identifier
1477824571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006170
- Practice address
- 804 Sarah St
Stroudsburg, PA 18360-1738 - Phone
- (570) 629-4900
- Fax
- (570) 420-1248
- NPI assigned
- Jan 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006170 | PA | Primary |
Addresses
Primary practice location
804 Sarah St
Stroudsburg, PA 18360-1738
Mailing address
804 Sarah St
Stroudsburg, PA 18360-1738
Phone (570) 629-4900
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006170 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Dustan a Barabas P.C. | Past | Accepting new patients | |
| Dr. Patricia a Cheslock, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Stroudsburg, PA
- NPI 1487945796
-
- Cognitive & Behavioral Psychologist
- Stroudsburg, PA
- NPI 1043500176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1477824571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SARAH ST",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183601738",
"telephone_number": "570-629-4900",
"fax_number": "570-420-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 SARAH ST",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183601738",
"telephone_number": "570-629-4900",
"fax_number": "570-420-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAITANOS",
"first_name": "ANNA",
"middle_name": "A",
"credential": "M.ED. LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.