Individual provider Active NPI

Gennaro Landi, LPC,CADC,CCDP

  • Professional Counselor
  • Easton, PA
National Provider Identifier
1528476033
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007698 Issued in PA
Practice address
301 S 22ND St
Lower Level
Easton, PA 18042-3811
Phone
(610) 905-1484
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC007698 PA Primary

Addresses

Primary practice location

301 S 22ND St
Lower Level
Easton, PA 18042-3811

Mailing address

301 S 22ND St
Lower Level
Easton, PA 18042-3811
Phone (610) 905-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702003458 PA Practitioner - Mental Health Counselor 7810431798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

451 Chew St
Suite 304
Allentown, PA 18102-3423
Phone (484) 822-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC007698PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Apr 27, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 27, 2024 Accepting new patients

Locations

451 Chew St
Ste 304
Allentown, PA 18102
Phone (610) 437-6119

451 Chew St
Ste 306
Allentown, PA 18102
Phone (215) 821-2850

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 3

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1528476033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 22ND ST",
            "address_2": "LOWER LEVEL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423811",
            "telephone_number": "610-905-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 22ND ST",
            "address_2": "LOWER LEVEL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423811",
            "telephone_number": "610-905-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDI",
        "first_name": "GENNARO",
        "name_prefix": "Mr.",
        "credential": "LPC,CADC,CCDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.