Individual provider Active NPI

Antonia Vasilakis, MS ATR BC LPC

  • Professional Counselor
  • Willow Street, PA
National Provider Identifier
1295779411
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003621 Issued in PA
Practice address
2421 Willow Street Pike
Willow Street, PA 17584
Phone
(717) 464-1450
Fax
(717) 464-0890
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PC003621 PA Primary

Addresses

Primary practice location

2421 Willow Street Pike
Willow Street, PA 17584

Mailing address

2421 Willow Street Pike
Willow Street, PA 17584
Phone (717) 464-1450

Other identifiers 1

IdentifierTypeStateIssuer
PC003621OtherPADEPT OF ST BUREAU OF PROF

Other names 1

  • Miss Antonia Vasilakis Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC003621PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Weigel Counseling Associates, Inc. Past Accepting new patients

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295779411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 WILLOW STREET PIKE",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "17584",
            "telephone_number": "717-464-1450",
            "fax_number": "717-464-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 WILLOW STREET PIKE",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "17584",
            "telephone_number": "717-464-1450",
            "fax_number": "717-464-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILAKIS",
        "first_name": "ANTONIA",
        "name_prefix": "Mrs.",
        "credential": "MS ATR BC LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF ST BUREAU OF PROF",
            "identifier": "PC003621",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "VASILAKIS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willow Street, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.