Individual provider Active NPI

Gia Gulotta, LPCC

  • Professional Counselor
  • Brentwood, TN
National Provider Identifier
1700352010
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5608 Issued in TN
Practice address
5214 Maryland Way Ste 310
Brentwood, TN 37027-5071
Phone
(615) 510-3797
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1800886 OH
Professional Counselor 101YP2500X 5608 TN Primary

Addresses

Primary practice location

5214 Maryland Way Ste 310
Brentwood, TN 37027-5071

Mailing address

309 Boddington LN
Antioch, TN 37013-2894

Other practice location 1

2010 Madison Rd # 200
Cincinnati, OH 45208-3219
Phone (513) 813-2655

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

State licenses

LicenseStateTypeSpecialty
E.1800886OHMDProfessional Counselor
5608TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Counseling Company CurrentSince Jan 26, 2022 Accepting new patients

Locations

5214 Maryland Way
Ste 310
Brentwood, TN 37027
Phone (615) 343-1514

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1700352010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BODDINGTON LN",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 MARYLAND WAY STE 310",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275071",
            "telephone_number": "615-510-3797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Madison Rd # 200",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452083219",
            "country_code": "US",
            "telephone_number": "513-813-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULOTTA",
        "first_name": "GIA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800886",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.