Individual provider Active NPI

Teresa Crayton

  • Counselor
  • Mechanicsburg, PA
National Provider Identifier
1194988485
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
960 Century Dr
Diakon FLS
Mechanicsburg, PA 17055-4374
Phone
(717) 795-0330
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

960 Century Dr
Diakon FLS
Mechanicsburg, PA 17055-4374

Mailing address

300 Forge Rd
Boiling Springs, PA 17007-9772

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
I20240823001023 PA Practitioner - Mental Health Counselor 2163964610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diakon Child Family and Community MinistriesGroup PAC ID 8820310279, 2 clinicians

Practice addresses (Care Compare)

1800 W Market St
Diakon Family Life Services
Lewisburg, PA 17837-1236
Phone (570) 524-9477

5000 Ritter Rd
Suite 101
Mechanicsburg, PA 17055-6922
Phone (717) 795-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Diakon Child, Family & Community Ministries CurrentSince Jul 10, 2024 Accepting new patients
Diakon Child, Family and Community Ministries CurrentSince Jul 10, 2024 Accepting new patients
Diakon Child, Family & Community Ministries Current Accepting new patients

Locations

1800 W Market St
Lewisburg, PA 17837
Phone (570) 524-9477

5000 Ritter Rd
Ste 101
Mechanicsburg, PA 17055

960 Century Dr
Mechanicsburg, PA 17055
Phone (717) 579-2999

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/diakon/r4/

Organizations & group practices 3

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1194988485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FORGE RD",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CENTURY DR",
            "address_2": "DIAKON FLS",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554374",
            "telephone_number": "717-795-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYTON",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.