Active NPI
Ginalyn E Bavero, LPC
- Professional Counselor
- Lewisburg, PA
National Provider Identifier
1861840720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007996
- Practice address
- 260 Reitz Blvd
6
Lewisburg, PA 17837-9220 - Phone
- (570) 523-0605
- Fax
- (570) 523-0676
- NPI assigned
- Jun 1, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007996 | PA | Primary |
Addresses
Primary practice location
260 Reitz Blvd
6
Lewisburg, PA 17837-9220
Mailing address
260 Reitz Blvd.
6
Lewisburg, PA 17837
Phone (570) 523-0605
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 |
|---|---|---|---|
| PC007996 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Family Services Foundation | Past | Accepting new patients | |
| Bethesda Family Services Foundation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lewisburg, PA
- NPI 1578922985
-
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- Sapulpa, OK
- NPI 1215255393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1861840720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 REITZ BLVD.",
"address_2": "6",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "17837",
"telephone_number": "570-523-0605",
"fax_number": "570-523-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 REITZ BLVD",
"address_2": "6",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379220",
"telephone_number": "570-523-0605",
"fax_number": "570-523-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAVERO",
"first_name": "GINALYN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.