Active NPI
Ilona Naroditskiy, LPC
- Mental Health Counselor
- Holland, PA
National Provider Identifier
1316197122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 82 Buck Rd Ste 3
Holland, PA 18966-1751 - Phone
- (267) 270-5527
- Fax
- (215) 494-9246
- NPI assigned
- Sep 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
82 Buck Rd Ste 3
Holland, PA 18966-1751
Mailing address
82 Buck Rd Ste 3
Holland, PA 18966-1751
Phone (267) 270-5527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 31, 2025 through Jan 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1316197122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 BUCK RD STE 3",
"city": "HOLLAND",
"state": "PA",
"postal_code": "189661751",
"telephone_number": "267-270-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 BUCK RD STE 3",
"city": "HOLLAND",
"state": "PA",
"postal_code": "189661751",
"telephone_number": "267-270-5527",
"fax_number": "215-494-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARODITSKIY",
"first_name": "ILONA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.