Dody Star Siegfried, MAPC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

51 Market St
Bangor, PA 18013-1901

Phone

(610) 588-9109

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dody Star Freed Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1033545611",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2650 NORTHWOOD AVE.",
            "city": "EASTON",
            "state": "PENNSYLVANIA",
            "postal_code": "18045",
            "telephone_number": "610-250-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MARKET ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131901",
            "telephone_number": "610-588-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGFRIED",
        "first_name": "DODY",
        "middle_name": "STAR",
        "credential": "MAPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DODY",
            "last_name": "FREED",
            "middle_name": "STAR",
            "credential": "MDIV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pastoral Counselor in Bangor, PA
• Providers in Bangor, PA by specialty
• Pastoral Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.