Individual provider Active NPI

Kimberly S Infanti, M.ED.,NBCC, L.P.C.

  • Professional Counselor
  • Harleysville, PA
National Provider Identifier
1295748887
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001440 Issued in PA
Practice address
690 Harleysville Pike
Second Floor
Harleysville, PA 19438
Phone
(215) 256-0164
Fax
(215) 256-3159
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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 PC001440 PA Primary

Addresses

Primary practice location

690 Harleysville Pike
Second Floor
Harleysville, PA 19438

Mailing address

PO Box 101
Lederach, PA 19450-0101
Phone (215) 256-0164

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
I20240615000506 PA Practitioner - Mental Health Counselor 1759824923 Practice locations: Macungie, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Terrace LN
Macungie, PA 18062-8544
Phone (215) 256-0164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC001440PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1295748887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "LEDERACH",
            "state": "PA",
            "postal_code": "194500101",
            "telephone_number": "215-256-0164",
            "fax_number": "215-256-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 HARLEYSVILLE PIKE",
            "address_2": "SECOND FLOOR",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "19438",
            "telephone_number": "215-256-0164",
            "fax_number": "215-256-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFANTI",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "M.ED.,NBCC, L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.