Individual provider Active NPI

Dana Greenlee, MS, LPC

  • Professional Counselor
  • Malvern, PA
National Provider Identifier
1295507267
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016284 Issued in PA
Practice address
1200 Atwater Dr Ste 130
Malvern, PA 19355-9912
Phone
(610) 646-1851
Fax
(484) 355-5181
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 PC016284 PA Primary

Addresses

Primary practice location

1200 Atwater Dr Ste 130
Malvern, PA 19355-9912

Mailing address

825 Springdale Dr
Exton, PA 19341-2843

Other practice location 1

825 Springdale Dr
Exton, PA 19341-2843
Phone (484) 565-8200

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
I20250429002445 PA Practitioner - Mental Health Counselor 3971029307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellie Main Line LLCGroup PAC ID 0345689022, 4 clinicians

Practice addresses (Care Compare)

1200 Atwater Dr
Suite 130
Malvern, PA 19355-8782
Phone (610) 646-1851

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC016284PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Main Line LLC Professional CurrentSince Feb 7, 2025 Accepting new patients

Locations

1200 Atwater Dr
Ste 130
Malvern, PA 19355
Phone (610) 632-7745

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1295507267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ATWATER DR STE 130",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559912",
            "telephone_number": "610-646-1851",
            "fax_number": "484-355-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412843",
            "country_code": "US",
            "telephone_number": "484-565-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "DANA",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.