Individual provider

Heather Mcgonigle

Addiction (Substance Use Disorder) Counselor Counselor Medicare enrolled

Heather Mcgonigle is a Counselor in Philadelphia, PA, registered under NPI 1255842241. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4700 WISSAHICKON AVE STE 118, Philadelphia, PA 19144. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4700 WISSAHICKON AVE STE 118, Philadelphia, PA 19144 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PC011362 PA Counselor primary

This provider holds licence PC011362 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
8729431374

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Delaware I20240130002857 Practitioner - Mental Health Counselor
Pennsylvania I20250527002759 Practitioner - Mental Health Counselor

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. There are 2 separate enrolment records across 2 states (DE, PA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Counselor covers

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. NUCC Health Care Provider Taxonomy, code 101Y00000X
Behavioral Health & Social Service Providers Counselor

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder)
101Y00000X Counselor PC011362 PA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255842241 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 17, 2017
Last updatedDec 13, 2024
StatusActive
Sole proprietorNo
GenderFemale
Practice address 4700 WISSAHICKON AVE STE 118
Philadelphia, PA 19144
(267) 597-3600
Mailing address 4700 WISSAHICKON AVE STE 119
Philadelphia, PA 19144
This record was updated on Dec 13, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1255842241 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 8 4 2 2 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 7 4 4 2 8

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255842241?
NPI 1255842241 is the National Provider Identifier assigned to Heather Mcgonigle in Philadelphia, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Counselor cover?
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
How do I contact Heather Mcgonigle?
The phone number on file with NPPES is (267) 597-3600, last updated Dec 13, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Heather Mcgonigle accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255842241 a valid number?
Yes. 1255842241 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.