Individual provider Active NPI

Susan E. Friedenberger, L.P.C.

  • Professional Counselor
  • Altoona, PA
National Provider Identifier
1033185723
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002664 Issued in PA
Practice address
400 Lakemont Park Blvd
Suite 100
Altoona, PA 16602-5967
Phone
(814) 946-5411
Fax
(814) 569-1189
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 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 PC002664 PA Primary

Addresses

Primary practice location

400 Lakemont Park Blvd
Suite 100
Altoona, PA 16602-5967

Mailing address

201 Chestnut Ave
Altoona, PA 16601-4927
Phone (814) 946-5411

Other identifiers 1

IdentifierTypeStateIssuer
001467901OtherPAHIGHMARK

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
PC002664PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1033185723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014927",
            "telephone_number": "814-946-5411",
            "fax_number": "814-940-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKEMONT PARK BLVD",
            "address_2": "SUITE 100",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025967",
            "telephone_number": "814-946-5411",
            "fax_number": "814-569-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDENBERGER",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001467901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.