Individual provider Active NPI

Marci Pambianchi, LPC

  • Professional Counselor
  • Nazareth, PA
National Provider Identifier
1295493419
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011064 Issued in PA
Practice address
4553 Foxtail Dr
Nazareth, PA 18064-9666
Phone
(484) 560-1695
NPI assigned
Dec 5, 2021
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 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 PC011064 PA Primary

Addresses

Primary practice location

4553 Foxtail Dr
Nazareth, PA 18064-9666

Mailing address

4553 Foxtail Dr
Nazareth, PA 18064-9666

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
I20240904004193 PA Practitioner - Mental Health Counselor 3476091471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elmwood Mental Health Partners LLCGroup PAC ID 5597203596, 7 clinicians

Practice addresses (Care Compare)

3600 Nicholas St
Suite 200
Easton, PA 18045-5156
Phone (484) 273-2440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC011064PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marci Pambianchi LLC CurrentSince Mar 20, 2022 Accepting new patients
Elmwood Mental Health Partners LLC Professional CurrentSince Jan 1, 2023 Accepting new patients

Locations

121 N Cedar Crest Blvd
Ste A
Allentown, PA 18104
Phone (484) 273-2440

3600 Nicholas St
Ste 200
Easton, PA 18045
Phone (484) 273-2440

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, 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": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1295493419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 FOXTAIL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 FOXTAIL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649666",
            "telephone_number": "484-560-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMBIANCHI",
        "first_name": "MARCI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-05",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

Verify at the official NPI Registry.