Individual provider Active NPI

Samantha Leigh Gimigliano, LICENSED PROFESSIONA

  • Professional Counselor
  • Bridgeville, PA
National Provider Identifier
1922257245
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004934 Issued in PA
Practice address
300 Old Pond Rd (Neuropsychiatry Center)
Ste 201
Bridgeville, PA 15017
Phone
(412) 220-7323
Fax
(412) 220-7325
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 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 PC004934 PA Primary

Addresses

Primary practice location

300 Old Pond Rd (Neuropsychiatry Center)
Ste 201
Bridgeville, PA 15017

Mailing address

Neuropsychiatry Center 300 Old Pond Road
Ste 201
Bridgeville, PA 15017
Phone (412) 220-7323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240227002396 PA Practitioner - Mental Health Counselor 2860837127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ravi Kant, MD PCGroup PAC ID 7517003163, 5 clinicians

Practice addresses (Care Compare)

300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270
Phone (412) 220-7323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC004934PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Kant, MD PC CurrentSince Jan 15, 2024 Accepting new patients
Ravi Kant, MD PC PastSince Jan 1, 2023 Accepting new patients

Locations

300 Old Pond Rd
Ste 201
Bridgeville, PA 15017
Phone (412) 220-7323

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1922257245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEUROPSYCHIATRY CENTER 300 OLD POND ROAD",
            "address_2": "STE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "15017",
            "telephone_number": "412-220-7323",
            "fax_number": "412-220-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD (NEUROPSYCHIATRY CENTER)",
            "address_2": "STE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "15017",
            "telephone_number": "412-220-7323",
            "fax_number": "412-220-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMIGLIANO",
        "first_name": "SAMANTHA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.