Active NPI
Denise Lynn Darling, MS
- Marriage & Family Therapist
- East Petersburg, PA
National Provider Identifier
1053392001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF-000596
- Practice address
- 6079 Main Street
East Petersburg, PA 17520-1267 - Phone
- (717) 560-1908
- Fax
- (717) 560-4941
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1253 | MN | |
| Marriage & Family Therapist | 106H00000X | MF-000596 | PA | Primary |
Addresses
Primary practice location
6079 Main Street
East Petersburg, PA 17520-1267
Mailing address
200 N 7TH Street
Lebanon, PA 17046-5040
Phone (717) 273-1710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 549152500 | Medicaid | MN | |
| 136218 | Other | MN | UCARE |
Other names 1
- Ms. Denise L Buikema
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF-000596 | PA | MD | Marriage & Family Therapist |
| 1253 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1053392001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 7TH STREET",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465040",
"telephone_number": "717-273-1710",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6079 MAIN STREET",
"city": "EAST PETERSBURG",
"state": "PA",
"postal_code": "175201267",
"telephone_number": "717-560-1908",
"fax_number": "717-560-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARLING",
"first_name": "DENISE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1253",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF-000596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "549152500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "136218",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "BUIKEMA",
"middle_name": "L",
"prefix": "MS.",
"credential": "MS LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Petersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.