Katherine Lee Ervinevangeliste

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC000396 Issued in PA

Practice address

407 Oak St
Irwin, PA 15642-3523

Phone

(724) 863-6555

Fax

(724) 863-6559

NPI assigned

Jul 16, 2007

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 names 1

• Kathey L. Ervin Former name

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, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1194924407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 OAK ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423523",
            "telephone_number": "724-863-6555",
            "fax_number": "724-863-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 OAK ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423523",
            "telephone_number": "724-863-6555",
            "fax_number": "724-863-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVINEVANGELISTE",
        "first_name": "KATHERINE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHEY",
            "last_name": "ERVIN",
            "middle_name": "L.",
            "credential": "MED,LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emilio Villegas, M.D.
• Elaine Enteria
• Jennifer Ann Erdos, M.D.
• Rebecca Ericson
• Nicole Ertman, RD, LDN
• Eshman Chiropractic Clinic, LLC
• Russell Jason Eshman, D.C.
• Angela Estrada
• Pamela Evans-Hartland
• Jalyn Evans

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.