Individual provider Active NPI

Gloria Plato Lewin, CRC, LMHC

  • Professional Counselor
  • Syracuse, NY
National Provider Identifier
1891722591
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000329 Issued in NY
Practice address
1031 E Fayette St
VA Community Care Center
Syracuse, NY 13210-1022
Phone
(315) 425-4445
Fax
(315) 425-4406
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 000329 NY Primary

Addresses

Primary practice location

1031 E Fayette St
VA Community Care Center
Syracuse, NY 13210-1022

Mailing address

8411A Shallowcreek Rd
Liverpool, NY 13090-1327
Phone (315) 652-4656

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
000329NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse VA Medical Center Past Accepting new patients
Department of Veterans Affairs 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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891722591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411A SHALLOWCREEK RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901327",
            "telephone_number": "315-652-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E FAYETTE ST",
            "address_2": "VA COMMUNITY CARE CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101022",
            "telephone_number": "315-425-4445",
            "fax_number": "315-425-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "GLORIA",
        "middle_name": "PLATO",
        "name_prefix": "Ms.",
        "credential": "CRC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "000329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.