Active NPI
Katie Militello
- Professional Counselor
- Jamison, PA
National Provider Identifier
1073204574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC015685
- Practice address
- 2500 York Rd
Jamison, PA 18929-1068 - Phone
- (215) 792-7317
- NPI assigned
- May 16, 2023
- Last updated
- May 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC015685 | PA | Primary |
Addresses
Primary practice location
2500 York Rd
Jamison, PA 18929-1068
Mailing address
220 Wendover St
Philadelphia, PA 19128-5040
Phone (609) 694-9027
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Philadelphia College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Huff Ave Ext
Greensburg, PA 15601-5484
Phone (724) 836-3960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC015685 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forge Medical Group, LLC | Current | Accepting new patients | |
| Forge Medical Group, LLC | Current | Accepting new patients |
Locations
10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312
40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960
Organizations & group practices 2
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": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1073204574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WENDOVER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191285040",
"telephone_number": "609-694-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 YORK RD",
"city": "JAMISON",
"state": "PA",
"postal_code": "189291068",
"telephone_number": "215-792-7317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILITELLO",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC015685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamison, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.