Active NPI
Marykay Powell, ADDICTIONS COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- Altoona, PA
National Provider Identifier
1154714418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 20-05-16
- Practice address
- 1917 E Pleasant Valley Blvd
Altoona, PA 16602-7552 - Phone
- (814) 201-2355
- Fax
- (814) 201-2355
- NPI assigned
- Mar 11, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OR | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20-05-16 | OR | Primary |
Addresses
Primary practice location
1917 E Pleasant Valley Blvd
Altoona, PA 16602-7552
Mailing address
128 57TH St
Altoona, PA 16602-5002
Phone (814) 937-6889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-05-16 | Other | OR | MHACBO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations for Recovery | Past | Accepting new patients | |
| PA Treatment & Healing | 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.
-
- Community/Behavioral Health Agency
- Altoona, PA
- NPI 1902334022
-
- Voluntary or Charitable Agency
- Medford, OR
- NPI 1417378134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1154714418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 57TH ST",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166025002",
"telephone_number": "814-937-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 E PLEASANT VALLEY BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166027552",
"telephone_number": "814-201-2355",
"fax_number": "814-201-2355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "MARYKAY",
"name_prefix": "Mrs.",
"credential": "ADDICTIONS COUNSELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "20-05-16",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHACBO",
"identifier": "20-05-16",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.