Active NPI
Carla Jo Chambers, M.ED, NBCC,LPC
- Professional Counselor
- Jacobus, PA
National Provider Identifier
1205130317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003131
- Practice address
- 26 North Main Street, Suite 5
Jacobus, PA 17407 - Phone
- (717) 817-2373
- NPI assigned
- Jan 4, 2011
- Last updated
- Jan 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC003131 | PA | Primary |
Addresses
Primary practice location
26 North Main Street, Suite 5
Jacobus, PA 17407
Mailing address
3730 Quesenberry Lane
Stewartstown, PA 17363
Phone (717) 993-6559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC003131 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1205130317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 QUESENBERRY LANE",
"city": "STEWARTSTOWN",
"state": "PA",
"postal_code": "17363",
"telephone_number": "717-993-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 NORTH MAIN STREET, SUITE 5",
"city": "JACOBUS",
"state": "PA",
"postal_code": "17407",
"telephone_number": "717-817-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "CARLA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "M.ED, NBCC,LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacobus, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.