Dominic Vangarelli, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012512 Issued in PA

Practice address

300 Mulberry St Ste 201
Scranton, PA 18503-1233

Phone

(570) 955-5479

Fax

(570) 955-5528

NPI assigned

Oct 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrative Counseling Services, PCGroup PAC ID 5698046357, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrative Counseling Services, PC

  • Professional Counselor
  • Scranton, PA
  • NPI 1326462599
  Medicare reassignment Care Compare group NPD
• Empowered Resilience

  • Mental Health Counselor
  • Scranton, PA
  • NPI 1417844218
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1639831902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST STE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031233",
            "telephone_number": "570-977-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST STE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031233",
            "telephone_number": "570-955-5479",
            "fax_number": "570-955-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGARELLI",
        "first_name": "DOMINIC",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa J Valusek
• Ellen Jane Vanbuskirk, PTA
• Korinn Korvette Vandervall
• Fnu Vandina
• Sunitha Vangala, M.D
• Jaime L. Vannan, PA-C
• Stefani Lyn Vanston, CRNP
• Anne-Marie Vanwert, MED
• Elvin Varughesekutty, D.O
• Vascular & Vein Clinics of Northeastern Pennsylvania LLC

• Professional Counselor in Scranton, PA
• Providers in Scranton, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.