MISS KRISTEN M GAUGHAN (NPI# 1770776874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770776874 |
| Entity Type | Individual |
| Full Name | MISS KRISTEN M GAUGHAN |
| Credential | MS, NCC, LPC |
| Practice Address |
5570 Derry St Harrisburg PA 17111-3504 |
| Mailing Address |
1808 Colonial Village Ln Suite 103 Lancaster PA 17601-6745 |
| Practice Telephone | 7175259804 |
| Practice Fax Number | 7175259862 |
| Mailing Telephone | 7173910172 |
| Mailing Fax Number | 7173917771 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2013-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC006886 | PA | Behavioral Health & Social Service Providers |
| Street Address |
5570 DERRY ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578035069 | Jessica Rae Fry | Counselor | 5570 Derry St, Harrisburg, PA 17111-3517 | 2018-12-20 |
| 1649759796 | Chelsea Love Lacy | Social Worker | 5570 Derry St, Harrisburg, PA 17111-3517 | 2018-08-09 |
| 1891126249 | Melissa Ruiz | Licensed Practical Nurse | 5570 Derry St, Harrisburg, PA 17111-3504 | 2013-12-11 |
| 1275767170 | Betsy Lynn Stone | Counselor | 5570 Derry St, Harrisburg, PA 17111-3504 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351938 | Felicia L. Brown-haywood | Counselor | 6530 Derry St Fl 2, Harrisburg, PA 17111-4468 | 2020-09-18 |
| 1871103788 | Oluwasegun Lawal | Counselor | 5006 Wynnewood Rd # 5006, Harrisburg, PA 17109-5463 | 2020-08-05 |
| 1386264273 | Shacora Renee Hayes | Counselor | 1223 N 2nd St, Harrisburg, PA 17102-2711 | 2020-04-20 |
| 1003456492 | Samuel Watkins | Counselor | 331 Schuylkill St, Harrisburg, PA 17110-1930 | 2020-01-14 |
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1477022614 | Enso Wellness Inc | Counselor | 2014 Green St Rear, Harrisburg, PA 17102-2127 | 2018-11-16 |
| 1235615816 | Maureen Elizabeth Roth | Counselor | 3642 Derry Street, Harrisburg, PA 17111-1919 | 2018-07-17 |
| 1942703640 | Amanda Davis-buie | Counselor | 3619 Walnut St, Harrisburg, PA 17109-2553 | 2018-03-09 |
| 1861917072 | Eileen M Hunt | Counselor | 939 E Park Dr, Harrisburg, PA 17111-2815 | 2017-08-08 |
| 1992246490 | Greg Kessler | Counselor | 344 S 13th St, Harrisburg, PA 17104-1777 | 2017-03-16 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on MISS KRISTEN M GAUGHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.