Individual provider Active NPI

Emily McDonald, LPC

  • Professional Counselor
  • Scranton, PA
National Provider Identifier
1144728940
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008339 Issued in PA
Practice address
228 S Main Ave
Scranton, PA 18504-2545
Phone
(570) 904-7363
Fax
(570) 348-4079
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PC008339 PA Primary

Addresses

Primary practice location

228 S Main Ave
Scranton, PA 18504-2545

Mailing address

228 S Main Ave
Scranton, PA 18504-2545
Phone (570) 904-7363

Other practice location 1

2324 Boulevard Ave
Scranton, PA 18509-1237
Phone (570) 904-7363

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
I20240220003802 PA Practitioner - Mental Health Counselor 1456795244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Wellness Center of Scranton LLCGroup PAC ID 3072900547, 7 clinicians

Practice addresses (Care Compare)

1021 Moosic St
Apt 1
Scranton, PA 18505-4550
Phone (570) 961-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC008339PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services, PC Professional CurrentSince Jan 7, 2024 Accepting new patients
Counseling & Wellness Center of Scranton LLC Professional CurrentSince Dec 1, 2024 Accepting new patients
Empowered Resilience PastSince Jan 7, 2024 Accepting new patients

Locations

52 Summit St
New Milford, PA 18834
Phone (570) 465-2080

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

4 Meadow Ave
Scranton, PA 18505
Phone (570) 504-1530

Organizations & group practices 3

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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144728940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042545",
            "telephone_number": "570-904-7363",
            "fax_number": "570-348-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042545",
            "telephone_number": "570-904-7363",
            "fax_number": "570-348-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 Boulevard Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185091237",
            "country_code": "US",
            "telephone_number": "570-904-7363",
            "fax_number": "570-348-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "EMILY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.