Katya Elysia Vallon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC015931 Issued in PA

Practice address

1307 Park Ave Ste 10-223
Williamsport, PA 17701-4590

Phone

(401) 315-4644

NPI assigned

Jun 9, 2010

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvallon273534@wellspan.direct-ci.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.

• Viriditas LLC

  dba Sacred Wildness Psychotherapy

  • Professional Counselor
  • Williamsport, PA
  • NPI 1972391654
  Medicare reassignment NPD Authorized official
• Ophelia Medical Group, P.C.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Philadelphia, PA
  • NPI 1376179150
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1033439393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 PARK AVE STE 10-223",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014590",
            "telephone_number": "401-315-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 PARK AVE STE 10-223",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014590",
            "telephone_number": "401-315-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLON",
        "first_name": "KATYA",
        "middle_name": "ELYSIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060368",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upmc Williamsport (Williamsport Regional Medical Center)
• Upmc Williamsport
• Upmc Williamsport (Williamsport Regional Medical Center)
• Upmc Williamsport
• Upmc Williamsport
• Abagail Vanaskie, CRNP
• Barbara J Vanaskie, LCSW
• Sara Vanbuskirk
• Abbey B Vanderlin, PA-C
• Amy Elizabeth Vanderwall, CRNP

• Mental Health Counselor in Williamsport, PA
• Providers in Williamsport, 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 Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.