Active NPI
Dana Gargurevich, LCPC
- Professional Counselor
- Hanover, PA
National Provider Identifier
1821821398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2660
- Practice address
- 2420 Crystal Clear Dr
Hanover, PA 17331-8320 - Phone
- (646) 824-9002
- NPI assigned
- Aug 21, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2660 | MD | Primary |
Addresses
Primary practice location
2420 Crystal Clear Dr
Hanover, PA 17331-8320
Mailing address
2420 Crystal Clear Dr
Hanover, PA 17331-8320
Phone (646) 824-9002
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC2660 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1821821398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 CRYSTAL CLEAR DR",
"city": "HANOVER",
"state": "PA",
"postal_code": "173318320",
"telephone_number": "646-824-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 CRYSTAL CLEAR DR",
"city": "HANOVER",
"state": "PA",
"postal_code": "173318320",
"telephone_number": "646-824-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARGUREVICH",
"first_name": "DANA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.