Individual provider Active NPI

Annasthasia Wrye, MA, LPC

  • Mental Health Counselor
  • Philipsburg, PA
National Provider Identifier
1023883030
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC016446 Issued in PA
Practice address
122 Stone Ridge Rd
Philipsburg, PA 16866-8943
Phone
(240) 587-0149
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC016446 PA Primary

Addresses

Primary practice location

122 Stone Ridge Rd
Philipsburg, PA 16866-8943

Mailing address

122 Stone Ridge Rd
Philipsburg, PA 16866-8943
Phone (240) 587-0149

Other names 1

  • Annasthasia Corbin Former name

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
I20241216002542 PA Practitioner - Mental Health Counselor 0648706515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Valley Professional Associates, IncGroup PAC ID 5395648745, 12 clinicians

Practice addresses (Care Compare)

320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Phone (814) 867-0670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC016446PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Valley Professional Associates, Inc Mental Health CurrentSince Dec 1, 2024 Accepting new patients

Locations

320 Rolling Ridge Dr
Ste 100
State College, PA 16801
Phone (814) 867-0670

Interoperability endpoints

  • Direct secure messaging: annasthasia.wrye@sunpointehealth.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1023883030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 STONE RIDGE RD",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668943",
            "telephone_number": "240-587-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 STONE RIDGE RD",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668943",
            "telephone_number": "240-587-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRYE",
        "first_name": "ANNASTHASIA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNASTHASIA",
            "last_name": "CORBIN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.