Individual provider Active NPI

Timothy Robert Stow, LPC

  • Professional Counselor
  • Ephrata, PA
National Provider Identifier
1083532014
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC019480 Issued in PA
Practice address
4139 Oregon Pike Ste 303
Ephrata, PA 17522-9577
Phone
(855) 256-9177
Fax
(412) 655-6511
NPI assigned
Jul 7, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC019480 PA Primary

Addresses

Primary practice location

4139 Oregon Pike Ste 303
Ephrata, PA 17522-9577

Mailing address

4139 Oregon Pike Ste 303
Ephrata, PA 17522-9577
Phone (413) 930-3175

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1083532014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 OREGON PIKE STE 303",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229577",
            "telephone_number": "413-930-3175",
            "fax_number": "412-655-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 OREGON PIKE STE 303",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229577",
            "telephone_number": "855-256-9177",
            "fax_number": "412-655-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOW",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.