Individual provider Active NPI

Londy Shestack, MA

  • Mental Health Counselor
  • Montgomeryville, PA
National Provider Identifier
1053787879
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
595 Bethlehem Pike Ste 106
Montgomeryville, PA 18936-9710
Phone
(215) 997-2000
Fax
(215) 997-2282
NPI assigned
Aug 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

595 Bethlehem Pike Ste 106
Montgomeryville, PA 18936-9710

Mailing address

595 Bethlehem Pike Ste 106
Montgomeryville, PA 18936-9710
Phone (215) 997-2000

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1053787879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BETHLEHEM PIKE STE 106",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369710",
            "telephone_number": "215-997-2000",
            "fax_number": "215-997-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BETHLEHEM PIKE STE 106",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369710",
            "telephone_number": "215-997-2000",
            "fax_number": "215-997-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHESTACK",
        "first_name": "LONDY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; 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.