Individual provider Active NPI

Marisa Lynne Schuster, LPC, NCC, BC-TMH

  • Counselor
  • Johnstown, PA
National Provider Identifier
1205008422
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
12 Entrance Dr
Johnstown, PA 15905-1202
Phone
(814) 241-1754
NPI assigned
Mar 27, 2008
Last updated
Aug 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

12 Entrance Dr
Johnstown, PA 15905-1202

Mailing address

106 Ivy Rd
Johnstown, PA 15905-1320
Phone (814) 241-1754

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
I20240129003595 PA Practitioner - Mental Health Counselor 7810340551 Practice locations: Johnstown, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

915 Menoher Blvd
Suite B
Johnstown, PA 15905-2800
Phone (814) 241-1754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1205008422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IVY RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051320",
            "telephone_number": "814-241-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ENTRANCE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051202",
            "telephone_number": "814-241-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSTER",
        "first_name": "MARISA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.