Individual provider Active NPI

Laura Kay Disantis, LPC

  • Professional Counselor
  • Kittanning, PA
National Provider Identifier
1154721207
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007409 Issued in PA
Practice address
365 Franklin Hill Rd
Kittanning, PA 16201-8921
Phone
(724) 543-1888
Fax
(724) 543-1898
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC007409 PA
Professional Counselor 101YP2500X PC007409 PA Primary

Addresses

Primary practice location

365 Franklin Hill Rd
Kittanning, PA 16201-8921

Mailing address

365 Franklin Hill Rd
Kittanning, PA 16201-8921
Phone (724) 543-1888

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

State licenses

LicenseStateTypeSpecialty
PC007409PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychological Associates,LTD. Mental Health Past Accepting new patients

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1154721207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FRANKLIN HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162018921",
            "telephone_number": "724-543-1888",
            "fax_number": "724-543-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 FRANKLIN HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162018921",
            "telephone_number": "724-543-1888",
            "fax_number": "724-543-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTIS",
        "first_name": "LAURA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007409",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.