Jodi Mandichak, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC008980 Issued in PA

Practice address

350 Sheetz Way
Claysburg, PA 16625-8346

Phone

(814) 239-1516

NPI assigned

Nov 3, 2014

Last updated

May 7, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jodi.mandichak.1@14940.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MH Health Care Services, PC

  • Nurse Practitioner
  • Claysburg, PA
  • NPI 1205460300
  NPD
• Discovery House BC LLC

  dba Duncansville Comprehensive Treatment Center

  • Methadone Clinic
  • Duncansville, PA
  • NPI 1013141977
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1013312008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ADAMS LN",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166356722",
            "telephone_number": "814-341-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SHEETZ WAY",
            "city": "CLAYSBURG",
            "state": "PA",
            "postal_code": "166258346",
            "telephone_number": "814-239-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDICHAK",
        "first_name": "JODI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC008980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Alexas Hills, CRNP
• Kristen Elaine Imler, PTA
• Lori Ann Imler, PT
• Stanley Herbert Kotala
• Alice M Laskaris, M.D.
• MH Health Care Services, PC
• Teresa Kay Miller, RN, NBC-HWC, DIPABLM
• Nason Physician Practices LLC (Conemaugh Nason Physician Group)
• Theresa Yvonne Saloney, CRNP
• Southern Blair Emergency Medical Service Inc

• Mental Health Counselor in Claysburg, PA
• Providers in Claysburg, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.