Individual provider Active NPI

Lynne Mary Atanasoff, PH.D., LPC

  • Professional Counselor
  • Philipsburg, PA
National Provider Identifier
1104071422
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005000 Issued in PA
Practice address
8 W Presqueisle St
Philipsburg, PA 16866-1643
Phone
(888) 550-1638
Fax
(888) 550-1638
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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 PC005000 PA Primary

Addresses

Primary practice location

8 W Presqueisle St
Philipsburg, PA 16866-1643

Mailing address

8 W Presqueisle St
Philipsburg, PA 16866-1643
Phone (888) 550-1638

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
I20240227001183 PA Practitioner - Mental Health Counselor 4688019904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne B Reedy PHD, Psychology and Counseling Associates, LLC CurrentSince Jan 23, 2024 Accepting new patients

Locations

1165 Philipsburg Bigler Hwy
Philipsburg, PA 16866
Phone (814) 937-0668

Organizations & group practices 1

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1104071422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W PRESQUEISLE ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661643",
            "telephone_number": "888-550-1638",
            "fax_number": "888-550-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W PRESQUEISLE ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661643",
            "telephone_number": "888-550-1638",
            "fax_number": "888-550-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANASOFF",
        "first_name": "LYNNE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.