Individual provider Active NPI

Christina Helen Ganon, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1750725776
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013340 Issued in NC
Practice address
871 Washington St
Raleigh, NC 27605-1499
Phone
(919) 229-9834
NPI assigned
Apr 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C013340 NC Primary
Clinical Social Worker 1041C0700X 082232-1 NY

Addresses

Primary practice location

871 Washington St
Raleigh, NC 27605-1499

Mailing address

871 Washington St
Raleigh, NC 27605-1499
Phone (919) 229-9834

Other practice location 1

149 E 78th St
New York, NY 10075-0405
Phone (212) 879-4900

Other identifiers 1

IdentifierTypeStateIssuer
13-1923959MedicaidNY

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

LicenseStateTypeSpecialty
C013340NCMDClinical Social Worker
082232-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Counseling Group, PLLC Clinical Past Accepting new patients

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": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1750725776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051499",
            "telephone_number": "919-229-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051499",
            "telephone_number": "919-229-9834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 E 78th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100750405",
            "country_code": "US",
            "telephone_number": "212-879-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANON",
        "first_name": "CHRISTINA",
        "middle_name": "HELEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-21",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013340",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082232-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13-1923959",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.