Active NPI
Gioia Dimicco, LPC, ATR-BC
- Mental Health Counselor
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC015917
- Practice address
- 1518 Walnut St
Philadelphia, PA 19102-3419 - Phone
- (215) 642-8968
- NPI assigned
- Aug 14, 2023
- Last updated
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PC015917 | PA | Primary |
Addresses
Primary practice location
1518 Walnut St
Philadelphia, PA 19102-3419
Mailing address
51 N Wiota St
Philadelphia, PA 19104-2212
Phone (215) 932-3793
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1518 Walnut St
Suite 208
Philadelphia, PA 19102-3402
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC015917 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
1518 Walnut St
Ste 208
Philadelphia, PA 19102
Phone (215) 642-8968
5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1780467977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N WIOTA ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042212",
"telephone_number": "215-932-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023419",
"telephone_number": "215-642-8968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMICCO",
"first_name": "GIOIA",
"credential": "LPC, ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC015917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Julianne Elise Dimemmo, RBT
- Marleah N Dimenna, MSN, FNP-C, OCN
- Dimensional Health Care Services, Inc (Dimensional Home Care Services)
- Dimensions Group Services, LLC.
- Marla Dimercurio, LCSW
- Christina Dimichele, PT, DPT
- Steven G Dimitriou, DO
- Vasil Dimitrov Dimitrov, PT
- Boryana Dimitrova, DMD
- Taylor Dimmerling, MS, RD, LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.