Individual provider Active NPI

Stephanie Morataya, LPC

  • Mental Health Counselor
  • Wyomissing, PA
National Provider Identifier
1194375022
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC011308 Issued in PA
Practice address
932 Penn Avenue
1St Floor
Wyomissing, PA 19610-3017
Phone
(484) 513-3793
Fax
(484) 509-5122
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC011308 PA Primary

Addresses

Primary practice location

932 Penn Avenue
1St Floor
Wyomissing, PA 19610-3017

Mailing address

932 Penn Avenue
1St Floor
Wyomissing, PA 19610-3017
Phone (484) 513-3793

Other practice location 1

4008 7th Ave
Temple, PA 19560-1910
Phone (484) 651-2338

Other practice location 2

38 South 5th Street
Reading, PA 19602-1049
Phone (610) 374-7035

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
I20240208000052 PA Practitioner - Mental Health Counselor 8022451947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC011308PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Behavioral Health LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

38 S 5th St
Reading, PA 19602
Phone (610) 374-7035

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1194375022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 PENN AVENUE",
            "address_2": "1ST FLOOR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103017",
            "telephone_number": "484-513-3793",
            "fax_number": "484-509-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 PENN AVENUE",
            "address_2": "1ST FLOOR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103017",
            "telephone_number": "484-513-3793",
            "fax_number": "484-509-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4008 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "PA",
            "postal_code": "195601910",
            "country_code": "US",
            "telephone_number": "484-651-2338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 South 5th Street",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196021049",
            "country_code": "US",
            "telephone_number": "610-374-7035",
            "fax_number": "610-374-2508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORATAYA",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.