Active NPI
Ellen Mary Turnick, RN, LPC
- Professional Counselor
- Wyomissing, PA
National Provider Identifier
1154429587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005371
- Practice address
- 716 N Park Rd
Wyomissing, PA 19610-2912 - Phone
- (610) 375-0544
- Fax
- (610) 378-9779
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN269166L | PA | |
| Professional Counselor | 101YP2500X | PC005371 | PA | Primary |
Addresses
Primary practice location
716 N Park Rd
Wyomissing, PA 19610-2912
Mailing address
716 N Park Rd
Wyomissing, PA 19610-2912
Phone (610) 375-0544
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 N Park Rd
BLDG 5
Wyomissing, PA 19610-2945
Phone (610) 823-7799
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005371 | PA | MD | Professional Counselor |
| RN269166L | PA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearthfire Psychology, PLLC | Professional | Current | Accepting new patients |
Locations
220 N Park Rd
Bldg 5
Wyomissing, PA 19610
Phone (610) 823-7799
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1154429587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 N PARK RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102912",
"telephone_number": "610-375-0544",
"fax_number": "610-378-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 N PARK RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102912",
"telephone_number": "610-375-0544",
"fax_number": "610-378-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNICK",
"first_name": "ELLEN",
"middle_name": "MARY",
"credential": "RN, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "PA",
"license": "RN269166L",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.