Individual provider Active NPI

Kara Danielle Raybuck, LPC

  • Professional Counselor
  • New Bethlehem, PA
National Provider Identifier
1134484546
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006409 Issued in PA
Practice address
431A Penn St
New Bethlehem, PA 16242-1113
Phone
(814) 227-6614
Fax
(817) 484-5004
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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 PC006409 PA Primary

Addresses

Primary practice location

431A Penn St
New Bethlehem, PA 16242-1113

Mailing address

431A Penn St
New Bethlehem, PA 16242-1113
Phone (814) 227-6614

Other practice location 1

365 Franklin Hill Rd
Kittanning, PA 16201-8921
Phone (724) 543-1888

Other names 1

  • Kara Danielle Kirkpatrick 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
PC006409PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Spero Group, LLC PastSince Sep 13, 2018 Accepting new patients
Family Psychological Associates,LTD. Past Accepting new patients

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1134484546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431A PENN ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421113",
            "telephone_number": "814-227-6614",
            "fax_number": "724-543-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431A PENN ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421113",
            "telephone_number": "814-227-6614",
            "fax_number": "817-484-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Franklin Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162018921",
            "country_code": "US",
            "telephone_number": "724-543-1888",
            "fax_number": "724-543-1898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBUCK",
        "first_name": "KARA",
        "middle_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "KIRKPATRICK",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.