Individual provider Active NPI

Wendy Sue Gaylor-Davis, LPC

  • Professional Counselor
  • Philipsburg, PA
National Provider Identifier
1972842102
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000889 Issued in PA
Practice address
580 Old Route 322
Philipsburg, PA 16866
Phone
(814) 342-5678
Fax
(814) 342-0532
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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 PC000889 PA Primary

Addresses

Primary practice location

580 Old Route 322
Philipsburg, PA 16866

Mailing address

1633 Philipsburg Bigler Hwy
Behavioral Health Division-Cen Clear Child Services
Philipsburg, PA 16866-8112
Phone (814) 342-5678

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
I20240227003632 PA Practitioner - Mental Health Counselor 5890144729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8112
Phone (814) 342-5678

60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone (814) 342-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866
Phone (814) 342-5845

50 Bigler Rd
Woodland, PA 16881

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1972842102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 PHILIPSBURG BIGLER HWY",
            "address_2": "BEHAVIORAL HEALTH DIVISION-CEN CLEAR CHILD SERVICES",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668112",
            "telephone_number": "814-342-5678",
            "fax_number": "814-342-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 OLD ROUTE 322",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "16866",
            "telephone_number": "814-342-5678",
            "fax_number": "814-342-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLOR-DAVIS",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.