Individual provider Active NPI

William Edwin Krill Jr., LPC

  • Professional Counselor
  • Altoona, PA
National Provider Identifier
1235364357
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004996 Issued in PA
Practice address
521 E 25TH Ave
Altoona, PA 16601-4031
Phone
(814) 932-7078
NPI assigned
May 19, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004996 PA Primary

Addresses

Primary practice location

521 E 25TH Ave
Altoona, PA 16601-4031

Mailing address

521 E 25TH Ave
Altoona, PA 16601-4031
Phone (814) 932-7078

Other practice location 1

1310 Valley View Blvd
Altoona, PA 16602-6080
Phone (814) 944-9970

Other identifiers 1

IdentifierTypeStateIssuer
1024701610002MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
PC004996PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Counseling Professional Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235364357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E 25TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014031",
            "telephone_number": "814-932-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E 25TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014031",
            "telephone_number": "814-932-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Valley View Blvd",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166026080",
            "country_code": "US",
            "telephone_number": "814-944-9970",
            "fax_number": "814-944-9974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRILL",
        "first_name": "WILLIAM",
        "middle_name": "EDWIN",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024701610002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.