Individual provider Active NPI

Liza De la O, MA., NCC, LPC

  • Mental Health Counselor
  • Chambersburg, PA
National Provider Identifier
1134572688
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC011268 Issued in PA
Practice address
375 Floral Ave Ste 102
Chambersburg, PA 17201-3431
Phone
(223) 386-0731
NPI assigned
Jul 20, 2016
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC011268 PA Primary

Addresses

Primary practice location

375 Floral Ave Ste 102
Chambersburg, PA 17201-3431

Mailing address

375 Floral Ave Ste 102
Chambersburg, PA 17201-3431
Phone (223) 386-0731

Other practice location 1

99 S Cameron St
Harrisburg, PA 17101-2809
Phone (717) 233-7290 ext. 256

Other practice location 2

19 S Main St
Chambersburg, PA 17201-2212
Phone (717) 263-7758

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC011268PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling Services, LLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

19 S Main St
Chambersburg, PA 17201
Phone (717) 263-7758

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1134572688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 FLORAL AVE STE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013431",
            "telephone_number": "223-386-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 FLORAL AVE STE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013431",
            "telephone_number": "223-386-0731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 S Cameron St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012809",
            "country_code": "US",
            "telephone_number": "717-233-7290 x256",
            "fax_number": "717-233-5334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172012212",
            "country_code": "US",
            "telephone_number": "717-263-7758",
            "fax_number": "717-261-1147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA O",
        "first_name": "LIZA",
        "credential": "MA., NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.