Individual provider Active NPI

Jamie Roda, LPC

  • Professional Counselor
  • Lancaster, PA
National Provider Identifier
1124782552
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013592 Issued in PA
Practice address
130 Harvard Ave
Lancaster, PA 17603-1703
Phone
(717) 333-6887
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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 PC013592 PA Primary

Addresses

Primary practice location

130 Harvard Ave
Lancaster, PA 17603-1703

Mailing address

130 Harvard Ave
Lancaster, PA 17603-1703
Phone (717) 333-6887

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
I20231213000262 PA Practitioner - Mental Health Counselor 7810346053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013592PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perinatal and Holistic Counseling Current Accepting new patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1320 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (484) 246-8451

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Organizations & group practices 2

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1124782552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HARVARD AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176031703",
            "telephone_number": "717-333-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HARVARD AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176031703",
            "telephone_number": "717-333-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODA",
        "first_name": "JAMIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.