Individual provider Active NPI

Katharina Panjaitan

  • Mental Health Counselor
  • Lancaster, PA
National Provider Identifier
1073655189
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006661 Issued in PA
Practice address
1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745
Phone
(717) 391-0172
Fax
(717) 391-7771
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 PC006661 PA Primary

Addresses

Primary practice location

1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745

Mailing address

1306 Hunsicker Rd
Lancaster, PA 17601-5310
Phone (314) 368-1493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

931 Harrisburg Ave
Lancaster, PA 17603-2652

PO Box
Philadelphia, PA 19182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC006661PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1073655189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HUNSICKER RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015310",
            "telephone_number": "314-368-1493",
            "fax_number": "717-391-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016745",
            "telephone_number": "717-391-0172",
            "fax_number": "717-391-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANJAITAN",
        "first_name": "KATHARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.