Individual provider Active NPI

Gina Kilderry, LPC

  • Counselor
  • Levittown, PA
National Provider Identifier
1912691189
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC016201 Issued in PA
Practice address
1331 Lincoln Hwy # 137
Levittown, PA 19056-1135
Phone
(267) 580-9790
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC016201 PA Primary

Addresses

Primary practice location

1331 Lincoln Hwy # 137
Levittown, PA 19056-1135

Mailing address

1331 Lincoln Hwy # 137
Levittown, PA 19056-1135
Phone (267) 580-9790

Other identifiers 1

IdentifierTypeStateIssuer
PC016201OtherPALICENSED PROFESSIONAL COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gina@kilderrylpc.com Direct

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
PC016201PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aldie Foundation PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1912691189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 LINCOLN HWY # 137",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190561135",
            "telephone_number": "267-580-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 LINCOLN HWY # 137",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190561135",
            "telephone_number": "267-580-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDERRY",
        "first_name": "GINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC016201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "PC016201",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gina@kilderrylpc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure messaging via HIPPA compliant account",
            "address_1": "78 Sweetgum Rd",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190562225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.