Active NPI
Carolyn Sue Heath, LSW
- Mental Health Counselor
- Carlisle, PA
National Provider Identifier
1285635516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 014772
- Practice address
- 47 W Pomfret St
Carlisle, PA 17013-3217 - Phone
- (717) 258-0214
- Fax
- (717) 258-3158
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 014772 | PA | Primary |
| Pastoral Counselor | 101YP1600X | 014772 | PA | |
| Social Worker | 104100000X | 014772 | PA |
Addresses
Primary practice location
47 W Pomfret St
Carlisle, PA 17013-3217
Mailing address
47 W Pomfret St
Carlisle, PA 17013-3217
Phone (717) 258-0214
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012248330001 | Medicaid | PA | |
| 50047763 | Other | PA | CAPITAL BLUE CROSS |
| 810554001 | Other | PA | AETNA |
| 810554001 | Other | PA | MAIL HANDLERS |
| 810554001 | Other | PA | QUEST |
| 810554001 | Other | PA | UNITED BEHAVIORAL HLTH |
| 810554001 | Other | PA | HIGHMARK FEDERAL |
| 128194 | Other | PA | VALUE OPTIONS |
| 195761000 | Other | PA | MAGELLAN |
| 2033298 | Other | PA | CIGNA |
| 250976 | Other | PA | COMPSYCH |
| 810554001 | Other | PA | ALLIANCE WORK PARTNERS |
| 810554001 | Other | PA | HEALTHNET TRICARE |
| 810554001 | Other | PA | PRIME SOURCE |
| 810554001 | Other | PA | TEAM EAP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014772 | PA | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesterfield Family Guidance Center | Past | Accepting new patients | |
| KPB Wewer, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Richmond, VA
- NPI 1225192909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1285635516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 W POMFRET ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133217",
"telephone_number": "717-258-0214",
"fax_number": "717-258-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 W POMFRET ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133217",
"telephone_number": "717-258-0214",
"fax_number": "717-258-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "CAROLYN",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "014772",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "PA",
"license": "014772",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "014772",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012248330001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50047763",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "810554001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIL HANDLERS",
"identifier": "810554001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUEST",
"identifier": "810554001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HLTH",
"identifier": "810554001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK FEDERAL",
"identifier": "810554001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "128194",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "195761000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2033298",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "250976",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE WORK PARTNERS",
"identifier": "810554001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET TRICARE",
"identifier": "810554001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIME SOURCE",
"identifier": "810554001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEAM EAP",
"identifier": "810554001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.