Individual provider Active NPI

Maryjo A Stemrich, LPC.

  • Professional Counselor
  • Bloomsburg, PA
National Provider Identifier
1003916867
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008380 Issued in PA
Practice address
816 Central Rd
Bloomsburg, PA 17815-8976
Phone
(570) 387-1832
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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 PC008380 PA Primary

Addresses

Primary practice location

816 Central Rd
Bloomsburg, PA 17815-8976

Mailing address

816 Central Rd
Bloomsburg, PA 17815-8976
Phone (570) 387-1832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC008380PAMDProfessional Counselor
3699AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City West Chiropractic, PLLC Past Accepting new patients
Integrity Family Wellness Past Accepting new patients
Bloomsburg Psychotherapy Center LLC Professional PastSince Nov 8, 2010 Accepting new patients

Organizations & group practices 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1003916867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 CENTRAL RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158976",
            "telephone_number": "570-387-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 CENTRAL RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158976",
            "telephone_number": "570-387-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMRICH",
        "first_name": "MARYJO",
        "middle_name": "A",
        "credential": "LPC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.