Individual provider Active NPI

Denise Lynn Verchimak, MA, CRC, LPC

  • Professional Counselor
  • Harrisburg, PA
National Provider Identifier
1003590258
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015796 Issued in PA
Practice address
3248 Jonagold Dr
Harrisburg, PA 17110-9119
Phone
(717) 350-0123
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 PC015796 PA Primary

Addresses

Primary practice location

3248 Jonagold Dr
Harrisburg, PA 17110-9119

Mailing address

3248 Jonagold Dr
Harrisburg, PA 17110-9119
Phone (717) 350-0123

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
I20240712000401 PA Practitioner - Mental Health Counselor 1759826944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1003590258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 JONAGOLD DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109119",
            "telephone_number": "717-350-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 JONAGOLD DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109119",
            "telephone_number": "717-350-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCHIMAK",
        "first_name": "DENISE",
        "middle_name": "LYNN",
        "credential": "MA, CRC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.