Individual provider Active NPI

Katie Baghli, MSW, LCSW

  • Counselor
  • Lebanon, PA
National Provider Identifier
1114205739
Registry record updated Jul 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CW016981 Issued in PA
Practice address
204 Hathaway Park
Lebanon, PA 17042-6162
Phone
(717) 274-9777
NPI assigned
Jul 31, 2011
Last updated
Jul 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CW016981 PA Primary

Addresses

Primary practice location

204 Hathaway Park
Lebanon, PA 17042-6162

Mailing address

204 Hathaway Park
Lebanon, PA 17042-6162
Phone (717) 274-9777

Other names 1

  • Katie Devilbiss Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW016981PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1114205739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HATHAWAY PARK",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426162",
            "telephone_number": "717-274-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HATHAWAY PARK",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426162",
            "telephone_number": "717-274-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHLI",
        "first_name": "KATIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "CW016981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DEVILBISS",
            "credential": "MSW, LGSW, LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.