Individual provider Active NPI

Ginalyn E Bavero, LPC

  • Professional Counselor
  • Lewisburg, PA
National Provider Identifier
1861840720
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007996 Issued in PA
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

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PC007996PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.