Individual provider Active NPI

Laura Chandler, MA, LPC

  • Professional Counselor
  • Pottstown, PA
National Provider Identifier
1265765663
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012673 Issued in PA
Practice address
11 Robinson Street
Pottstown, PA 19464
Phone
(484) 941-0500
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 PC012673 PA Primary

Addresses

Primary practice location

11 Robinson Street
Pottstown, PA 19464

Mailing address

11 Robinson St
Pottstown, PA 19464-6421
Phone (484) 941-0500

Other practice location 1

53 Hurley Rd
Parkesburg, PA 19365-1608
Phone (484) 212-6949

Other practice location 2

330 Octorara Ave.
Parkesburg, PA 19365-1936
Phone (484) 212-6949

Other identifiers 2

IdentifierTypeStateIssuer
1265765663MedicaidPA
PC012673OtherPAPROFESSIONAL COUNSELOR

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
I20260427000674 PA Practitioner - Mental Health Counselor 4981058971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 Octorara Ave
Parkesburg, PA 19365-1136

53 Hurley Rd
Parkesburg, PA 19365-1608

PO Box
Suite 162
Parkesburg, PA 19365

PO Box
Suite 162
Parkesburg, PA 19365-0162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC012673PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagles Counseling LLC Professional CurrentSince Feb 12, 2021 Accepting new patients

Locations

600 N Broad St
Ste 5
Middletown, DE 19709
Phone (302) 219-3793

42 W Market St
Marietta, PA 17547

53 Hurley Rd
Parkesburg, PA 19365
Phone (484) 212-6949

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1265765663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBINSON ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646421",
            "telephone_number": "484-941-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROBINSON STREET",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "484-941-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Hurley Rd",
            "address_purpose": "LOCATION",
            "city": "Parkesburg",
            "state": "PA",
            "postal_code": "193651608",
            "country_code": "US",
            "telephone_number": "484-212-6949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Octorara Ave.",
            "address_purpose": "LOCATION",
            "city": "Parkesburg",
            "state": "PA",
            "postal_code": "193651936",
            "country_code": "US",
            "telephone_number": "484-212-6949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "LAURA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265765663",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "PC012673",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.