Brandais Quay Gary

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015606 Issued in PA

Practice address

123 Hampden Dr Apt J
Mountville, PA 17554-1800

Phone

(717) 824-6370

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brandais Santiago Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Healingwithbrandais LLC

  • Mental Health Counselor
  • Mountville, PA
  • NPI 1912850991
  NPD Authorized official
• Avers & Biddle Counseling Associates LLC

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1871045948
  NPD (past)
• Mindy Biddle, Ma, LPC

  • Professional Counselor
  • Lancaster, PA
  • NPI 1932593571

  Professional

  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1558038695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HAMPDEN DR APT J",
            "city": "MOUNTVILLE",
            "state": "PA",
            "postal_code": "175541800",
            "telephone_number": "717-824-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HAMPDEN DR APT J",
            "city": "MOUNTVILLE",
            "state": "PA",
            "postal_code": "175541800",
            "telephone_number": "717-824-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "BRANDAIS",
        "middle_name": "QUAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDAIS",
            "last_name": "SANTIAGO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James A Bernheisel, MD
• Molly Boucher, PHARMD
• Marvin Butler
• Community Services Group, Inc.
• Brandi L Ferguson, MS
• Sherrie-an Gerhart, LCSW
• Peter Gockley, RPH
• H.E.a.R., Inc.
• Healingwithbrandais LLC
• Heroic Path, LLC

• All providers in Mountville, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.