Derek Schoffstall, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MF001220 Issued in PA

Practice address

5943 Linglestown Rd Ste a
Harrisburg, PA 17112

Phone

(717) 559-0405

NPI assigned

Jan 12, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Arrival Counseling Service LLC

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1336871458
  NPD Authorized official
• Upturn, LLC

  • Clinical Psychologist
  • Harrisburg, PA
  • NPI 1447650965
  NPD (past)

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1104415348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126412",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171126412",
            "telephone_number": "717-559-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 LINGLESTOWN RD STE A",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-559-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOFFSTALL",
        "first_name": "DEREK",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "MF001220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "MF001220",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Chase Schneier, DC
• Allegra Schnitzel, MT-BC
• Melissa Jane Schoettle, LSW
• Caralyne Schoffstall, LMFT
• Cassandra Schoffstall, MT-BC
• Alexis Schollenberger
• Briana Schreckengost, PHARMD
• Matthew John Schultheis, DPT
• Danielle Schultz
• Rachael Ashley Schultz, DO

• Mental Health Counselor in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.