Individual provider Active NPI

Pipsmy Angela Phimmachack, ED.D

  • Professional Counselor
  • Mechanicsburg, PA
National Provider Identifier
1013726694
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC000765 Issued in PA
Practice address
5006 E Trindle Rd Ste 203
Mechanicsburg, PA 17050-3651
Phone
(717) 857-6665
Fax
(887) 371-4161
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 APC000765 PA Primary

Addresses

Primary practice location

5006 E Trindle Rd Ste 203
Mechanicsburg, PA 17050-3651

Mailing address

5006 E Trindle Rd Ste 203
Mechanicsburg, PA 17050-3651
Phone (717) 857-6665

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC000765PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Folium, Inc. CurrentSince Jan 12, 2025 Accepting new patients

Locations

5006 E Trindle Rd
Ste 203
Mechanicsburg, PA 17050
Phone (717) 243-1326

Organizations & group practices 1

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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1013726694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 E TRINDLE RD STE 203",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503651",
            "telephone_number": "717-857-6665",
            "fax_number": "887-371-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 E TRINDLE RD STE 203",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503651",
            "telephone_number": "717-857-6665",
            "fax_number": "887-371-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIMMACHACK",
        "first_name": "PIPSMY",
        "middle_name": "ANGELA",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC000765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.