Individual provider Active NPI

Malia Lewis, BA

  • Professional Counselor
  • Indiana, PA
National Provider Identifier
1154574440
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005948 Issued in PA
Practice address
793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone
(724) 465-5576
Fax
(724) 465-6379
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 PC005948 PA Primary

Addresses

Primary practice location

793 Old Route 119 Hwy N
Indiana, PA 15701-1372

Mailing address

793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone (724) 465-5576

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
I20231219004110 PA Practitioner - Mental Health Counselor 5395195184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Guidance CenterGroup PAC ID 7517850720, 15 clinicians

Practice addresses (Care Compare)

793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone (724) 465-5576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Community Guidance Center CurrentSince Jan 1, 2024 Accepting new patients
Community Guidance Center Past Accepting new patients

Locations

490 Jeffers St
Dubois, PA 15801
Phone (814) 371-3671

793 Old Route 119 Hwy N
Indiana, PA 15701
Phone (724) 349-7060

4205 Crawford Ave
Northern Cambria, PA 15714
Phone (814) 420-8673

200 Prushnok Dr
Ste 103
Punxsutawney, PA 15767
Phone (814) 938-4444

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": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1154574440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 OLD ROUTE 119 HWY N",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011372",
            "telephone_number": "724-465-5576",
            "fax_number": "724-465-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 OLD ROUTE 119 HWY N",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011372",
            "telephone_number": "724-465-5576",
            "fax_number": "724-465-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MALIA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.