Active NPI
Gina Marie Cerminara, LPC
- Professional Counselor
- Racine, WI
National Provider Identifier
1497076848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4249
- Practice address
- 5801 Washington Avenue
Suite 110
Racine, WI 53406 - Phone
- (262) 884-9734
- Fax
- (262) 884-9735
- NPI assigned
- Jun 21, 2010
- 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 | 4249 | WI | Primary |
Addresses
Primary practice location
5801 Washington Avenue
Suite 110
Racine, WI 53406
Mailing address
5801 Washington Ave
Suite 110
Mount Pleasant, WI 53406-4057
Phone (262) 884-9734
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4249 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portis Marriage and Children Counseling Clinic, LLC | Professional | Past | 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 and National Provider Directory roles.
-
- Professional Counselor
- Racine, WI
- NPI 1609046788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1497076848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 WASHINGTON AVE",
"address_2": "SUITE 110",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534064057",
"telephone_number": "262-884-9734",
"fax_number": "262-884-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 WASHINGTON AVENUE",
"address_2": "SUITE 110",
"city": "RACINE",
"state": "WI",
"postal_code": "53406",
"telephone_number": "262-884-9734",
"fax_number": "262-884-9735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERMINARA",
"first_name": "GINA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
- Mallory Casey, M.S.CCC-SLP
- Catholic Charities of the Archdiocese of Milwaukee Inc
- Catholic Charities of the Archdiocese of Milwaukee Inc
- Randall C. Cech, RN
- Centerwell Certified Healthcare Corp.
- Chad Novasic PT LTD
- Neetu Chakravarti, M.D.
- Dewita Latrice Chambers, LPN
- Amy Sprague Champeau, MS, LMFT
- Michael Leo Champeau, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.