Active NPI
John E Kobierecki, MS
- Professional Counselor
- Harrisburg, PA
National Provider Identifier
1306098769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004893
- Practice address
- 4918 Locust LN
Harrisburg, PA 17109-4519 - Phone
- (717) 671-9610
- Fax
- (717) 671-9680
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004893 | PA | Primary |
Addresses
Primary practice location
4918 Locust LN
Harrisburg, PA 17109-4519
Mailing address
200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 273-1710
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC004893 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1306098769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465040",
"telephone_number": "717-273-1710",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4918 LOCUST LN",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171094519",
"telephone_number": "717-671-9610",
"fax_number": "717-671-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBIERECKI",
"first_name": "JOHN",
"middle_name": "E",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.