Individual provider Active NPI

Elizabeth Klunk

  • Counselor
  • Gettysburg, PA
National Provider Identifier
1083221808
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
334 York St
Gettysburg, PA 17325-1930
Phone
(717) 337-0026
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

334 York St
Gettysburg, PA 17325-1930

Mailing address

200 N 7TH St
Lebanon, PA 17046-5040

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
I20240604000388 PA Practitioner - Clinical Social Worker 8123560349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Counseling Services, Inc.Group PAC ID 1355331471, 55 clinicians

Practice addresses (Care Compare)

200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 272-1653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Counseling Services Inc. Counselor CurrentSince May 1, 2024 Accepting new patients
Pennsylvania Counseling Services Inc Past Accepting new patients

Locations

334 York St
Gettysburg, PA 17325
Phone (717) 337-0026

200 N 7th St
Lebanon, PA 17046
Phone (717) 272-5464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1083221808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 YORK ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251930",
            "telephone_number": "717-337-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUNK",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.