Kristin S Mincarelli, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004572 Issued in VA

Practice address

200 Stanley Ave
Landisville, PA 17538-1220

Phone

(717) 390-0353

NPI assigned

May 26, 2009

Last updated

Jan 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Services Group, Inc.

  • Community/Behavioral Health Agency
  • Mountville, PA
  • NPI 1265426084
  Medicare reassignment NPD

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1336374065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 OLDE HOMESTEAD LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015875",
            "telephone_number": "717-390-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STANLEY AVE",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175381220",
            "telephone_number": "717-390-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Mumma Dr",
            "address_purpose": "LOCATION",
            "city": "Landisville",
            "state": "PA",
            "postal_code": "175381428",
            "country_code": "US",
            "telephone_number": "717-390-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Mumma Dr",
            "address_purpose": "LOCATION",
            "city": "Landisville",
            "state": "PA",
            "postal_code": "175381428",
            "country_code": "US",
            "telephone_number": "717-390-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Mumma Dr",
            "address_purpose": "LOCATION",
            "city": "Landisville",
            "state": "PA",
            "postal_code": "175381428",
            "country_code": "US",
            "telephone_number": "717-390-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINCARELLI",
        "first_name": "KRISTIN",
        "middle_name": "S",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007936",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Elizabeth Lansberry, MPH, RD, LDN
• John Lusaitis Sr., M.S. F.A.A.A.
• Vanessa Ivelisse Matos, DDS
• Deanna McCaskill
• Shannon Miller, LMSW
• William T Moore, R.PH.
• Jared Nagle, LSW
• Yen Kim Nguyen, LSW
• PJ Ortmann, RPH
• Kinjalben Ankur Patel

• Professional Counselor in Landisville, PA
• Providers in Landisville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.