Individual provider Active NPI

Timothy R Farner, M.ED, LPC, NCC

  • Professional Counselor
  • Mechanicsburg, PA
National Provider Identifier
1295016194
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006016 Issued in PA
Practice address
100 Winding Creek Blvd Ste 3
Mechanicsburg, PA 17050-1883
Phone
(717) 590-7283
Fax
(717) 590-7297
NPI assigned
Sep 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PC006016 PA Primary

Addresses

Primary practice location

100 Winding Creek Blvd Ste 3
Mechanicsburg, PA 17050-1883

Mailing address

100 Winding Creek Blvd Ste 3
Mechanicsburg, PA 17050-1883
Phone (717) 590-7283

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
I20260310000450 PA Practitioner - Mental Health Counselor 9436385986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Winding Creek Blvd
Suite 3
Mechanicsburg, PA 17050-1883
Phone (717) 590-7283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC006016PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Creek Counseling Services, LLC Professional CurrentSince Jun 2, 2013 Accepting new patients

Locations

100 Winding Creek Blvd
Ste 3
Mechanicsburg, PA 17050
Phone (717) 249-8756

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295016194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINDING CREEK BLVD STE 3",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501883",
            "telephone_number": "717-590-7283",
            "fax_number": "717-590-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINDING CREEK BLVD STE 3",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501883",
            "telephone_number": "717-590-7283",
            "fax_number": "717-590-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNER",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.ED, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.