Gabrielle Carr LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GABRIELLE CARR LPC

Practice address

210 S. High St.
Waterford, PA 16441-8312

Phone

(814) 813-1671

Fax

(814) 240-1671

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Gabrielle M Carr, MA, LPC

Title

LPC

Phone

(814) 746-2691

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1780217364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W 3RD ST",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164418312",
            "telephone_number": "814-746-2691",
            "fax_number": "814-240-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S. HIGH ST.",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164418312",
            "telephone_number": "814-813-1671",
            "fax_number": "814-240-1671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165081233",
            "country_code": "US",
            "telephone_number": "814-746-2691",
            "fax_number": "814-240-5843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GABRIELLE CARR LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "814-746-2691",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.