Active NPI
Gabriel Sergey Plotnikov, BA
- Professional Counselor
- Douglassville, PA
National Provider Identifier
1508671298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1125 Ben Franklin Hwy W
Douglassville, PA 19518-1829 - Phone
- (610) 385-3155
- NPI assigned
- Feb 10, 2025
- Last updated
- Feb 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
1125 Ben Franklin Hwy W
Douglassville, PA 19518-1829
Mailing address
1125 Ben Franklin Hwy W
Douglassville, PA 19518-1829
Phone (610) 385-3155
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanctuary Counseling LLC | Mental Health | 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, 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": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1508671298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 BEN FRANKLIN HWY W",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181829",
"telephone_number": "610-385-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 BEN FRANKLIN HWY W",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181829",
"telephone_number": "610-385-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOTNIKOV",
"first_name": "GABRIEL",
"middle_name": "SERGEY",
"name_prefix": "Mr.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglassville, PA
- Ana M Pendleton, OTR
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy)
- Gregory Michael Peters
- Kristen Marie Pettinato, LPC
- Physiotherapy Associates Inc
- Plumb Line Physical Therapy, LLC
- Pottstown Hospital Company LLC (Coventry Medical Group - FP#2)
- Premier Immediate Medical Care
- Danielle Grace Quinn, MS
- Sanjay Rastogi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.