Individual provider Active NPI

Diane Lynne Gingo, LPCC

  • Behavior Analyst
  • Akron, OH
National Provider Identifier
1871731653
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
E0900001 Issued in OH
Practice address
2161 Eastwood Ave
Akron, OH 44305-2179
Phone
(330) 798-1220
Fax
(330) 798-1225
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X E0900001 OH Primary

Addresses

Primary practice location

2161 Eastwood Ave
Akron, OH 44305-2179

Mailing address

2161 Eastwood Ave
Akron, OH 44305-2179
Phone (330) 798-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003832 OH Practitioner - Mental Health Counselor 6800316332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0900001OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Calaway & Associates Counseling Services 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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1871731653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 EASTWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052179",
            "telephone_number": "330-798-1220",
            "fax_number": "330-798-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 EASTWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052179",
            "telephone_number": "330-798-1220",
            "fax_number": "330-798-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGO",
        "first_name": "DIANE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "E0900001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.