Individual provider Active NPI

Joanna Lyle, LPC

  • Professional Counselor
  • Hanover, PA
National Provider Identifier
1053711937
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
625 W Elm Ave
Hanover, PA 17331-5125
Phone
(717) 632-4900
Fax
(717) 632-4313
NPI assigned
Aug 28, 2014
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 Primary

Addresses

Primary practice location

625 W Elm Ave
Hanover, PA 17331-5125

Mailing address

625 W Elm Ave
Hanover, PA 17331-5125
Phone (717) 632-4900

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
I20240215001753 PA Practitioner - Mental Health Counselor 0648628552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevatemind, LLCGroup PAC ID 7113467309, 5 clinicians

Practice addresses (Care Compare)

100 W Eisenhower Dr
Suite a
Hanover, PA 17331-1142
Phone (717) 632-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Health Solutions, LLC Professional CurrentSince Jul 1, 2025 Accepting new patients
Truenorth Wellness Services CurrentSince Jan 23, 2024 Accepting new patients
Truenorth Wellness Services CurrentSince Jan 23, 2024 Accepting new patients
Elevatemind, LLC Professional CurrentSince Jul 1, 2025 Accepting new patients
Truenorth Wellness Services Current Accepting new patients

Locations

100 W Eisenhower Dr
Ste A
Hanover, PA 17331
Phone (717) 632-8400

625 W Elm Ave
Hanover, PA 17331

Organizations & group practices 5

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1053711937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W ELM AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315125",
            "telephone_number": "717-632-4900",
            "fax_number": "717-632-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W ELM AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315125",
            "telephone_number": "717-632-4900",
            "fax_number": "717-632-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLE",
        "first_name": "JOANNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.