Active NPI
Ilsa Loetzbeier, ED.S.
- Counseling Psychologist
- Allentown, PA
National Provider Identifier
1063874279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS007053L
- Practice address
- 3382 Devonshire Rd
Allentown, PA 18103-9610 - Phone
- (610) 791-2272
- NPI assigned
- Mar 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS007053L | PA | Primary |
Addresses
Primary practice location
3382 Devonshire Rd
Allentown, PA 18103-9610
Mailing address
3382 Devonshire Rd
Allentown, PA 18103-9610
Phone (610) 791-2272
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007053L | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458950400000",
"number": "1063874279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3382 DEVONSHIRE RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181039610",
"telephone_number": "610-791-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3382 DEVONSHIRE RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181039610",
"telephone_number": "610-791-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOETZBEIER",
"first_name": "ILSA",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-26",
"last_updated": "2016-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS007053L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.