Active NPI
Lorraine Gaston, LSW
- Mental Health Counselor
- Philadelphia, PA
National Provider Identifier
1699934273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW124231
- Practice address
- 717 S Columbus Blvd
Unit 819
Philadelphia, PA 19147-3506 - Phone
- (215) 964-9181
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW124231 | PA | Primary |
Addresses
Primary practice location
717 S Columbus Blvd
Unit 819
Philadelphia, PA 19147-3506
Mailing address
717 S Columbus Blvd
Unit 819
Philadelphia, PA 19147-3506
Phone (215) 964-9181
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW124231 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1699934273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S COLUMBUS BLVD",
"address_2": "UNIT 819",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191473506",
"telephone_number": "215-964-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S COLUMBUS BLVD",
"address_2": "UNIT 819",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191473506",
"telephone_number": "215-964-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTON",
"first_name": "LORRAINE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW124231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.