Constance M Walck, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC002712 Issued in PA

Practice address

564 Main St
Stroudsburg, PA 18360-2004

Phone

(570) 420-8070

Fax

(570) 424-6487

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By 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

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redco Group, LLCGroup PAC ID 7911802228, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Redco Group, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stroudsburg, PA
  • NPI 1538145453
  Medicare reassignment Care Compare group NPD
• Redco Group, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Stroudsburg, PA
  • NPI 1013132190
  NPD
• Redco Group, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, PA
  • NPI 1497731137
  NPD

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1184802548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E BROAD ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012307",
            "telephone_number": "570-420-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602004",
            "telephone_number": "570-420-8070",
            "fax_number": "570-424-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCK",
        "first_name": "CONSTANCE",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Velazquez, OT
• Maria Luisa Verde, ACUPUNCTURIST
• Vida Counseling LLC
• Josefina Villamar
• Matthew Voluck, DPM
• Walgreen Co
• Robert C Wallen, M.D.
• Jed Walsh, DO
• Stephanie Ware, RD LDN
• Emily Wargo, MS, RD, LDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.

Verify at the official NPI Registry.