Active NPI
Michelle Beth Kassahun, M.S., L.P.C. C.C.B.T
- Professional Counselor
- Mechanicsburg, PA
National Provider Identifier
1114382256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008569
- Practice address
- 65 White Oak Blvd
Mechanicsburg, PA 17050-7930 - Phone
- (717) 725-3882
- NPI assigned
- Dec 16, 2015
- Last updated
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008569 | PA | Primary |
Addresses
Primary practice location
65 White Oak Blvd
Mechanicsburg, PA 17050-7930
Mailing address
65 White Oak Blvd
Mechanicsburg, PA 17050-7930
Phone (717) 725-3882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2026 through Feb 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008569 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1114382256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 WHITE OAK BLVD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170507930",
"telephone_number": "717-725-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 WHITE OAK BLVD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170507930",
"telephone_number": "717-725-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSAHUN",
"first_name": "MICHELLE",
"middle_name": "BETH",
"credential": "M.S., L.P.C. C.C.B.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.