Individual provider Active NPI

Lauren Czachor, LPC, CAADC

  • Professional Counselor
  • Moscow, PA
National Provider Identifier
1285358044
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014919 Issued in PA
Practice address
129 Brook St
Moscow, PA 18444-6008
Phone
(570) 483-8838
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 PC014919 PA Primary

Addresses

Primary practice location

129 Brook St
Moscow, PA 18444-6008

Mailing address

129 Brook St
Moscow, PA 18444-6008
Phone (570) 483-8838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2026 through Jan 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC014919PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling Services LLC Professional CurrentSince Nov 6, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1285358044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BROOK ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184446008",
            "telephone_number": "570-483-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BROOK ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184446008",
            "telephone_number": "570-483-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZACHOR",
        "first_name": "LAUREN",
        "credential": "LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, PA

Sources for this page

Verify at the official NPI Registry.