Kathy Desantis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010006 Issued in PA

Practice address

1011 Brookside Rd Ste 122-a
Allentown, PA 18106-9020

Phone

(484) 602-9724

NPI assigned

Oct 17, 2017

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corefit Chiropractic

  • Chiropractor
  • Allentown, PA
  • NPI 1487017307
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1164933198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 SHAWNEE BLVD",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782610",
            "telephone_number": "484-241-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BROOKSIDE RD STE 122-A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069020",
            "telephone_number": "484-602-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "KATHY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14123921",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pragnesh A. Desai, D.O.
• Ravi R Desai, M.D.
• Smita R Desai, M.D.
• Tasha Desai, DO
• Urvi S Desai, D.O
• Laura Deschamps
• Nicholas Deschler
• Vilas K Deshpande, MD
• Celene Rosa Desko
• Noah Dessalegn, MD

• Professional Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.