Gina Hetrick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014984 Issued in PA

Practice address

265 N Findley St Ste D
Punxsutawney, PA 15767-2064

Phone

(814) 935-9019

Fax

(814) 954-1550

NPI assigned

Oct 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gina Wilson Former name

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Waves of Hope, LLC

  • Community/Behavioral Health Agency
  • Punxsutawney, PA
  • NPI 1346936127
  Medicare reassignment NPD Authorized official
• Waves of Hope, LLC

  • Mental Health Counselor
  • Punxsutawney, PA
  • NPI 1285414953
  NPD Authorized official
• Brookville Behavioral Health Inc.

  • Community/Behavioral Health Agency
  • Du Bois, PA
  • NPI 1326117359
  NPD (past)
• Core Psychiatric & Psychological Services

  • Psychiatry Physician
  • Du Bois, PA
  • NPI 1841131349
  NPD (past)

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1982320719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N FINDLEY ST STE D",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672064",
            "telephone_number": "814-935-9019",
            "fax_number": "814-954-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N FINDLEY ST STE D",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672064",
            "telephone_number": "814-935-9019",
            "fax_number": "814-954-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157672415",
            "country_code": "US",
            "telephone_number": "814-935-9019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "GINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "WILSON",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mazen Hasan, MD
• Health Services of Clarion, Inc
• Healthy Hearts Sleep Center
• Jonathan L Heid, M-ED
• Marilyn Hense, CRNA
• Michelle Hetrick, LPC
• HMS DME LLC
• Joelle Hoffman, FNP-C
• Mitchell Hogue
• Home Sweet Home Elder Care, LLC

• Professional Counselor in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.