Individual provider Active NPI

Mara A Holtzman, LPC

  • Professional Counselor
  • Mechanicsburg, PA
National Provider Identifier
1366774218
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004896 Issued in PA
Practice address
410 E Main St
Mechanicsburg, PA 17055-6515
Phone
(717) 795-8588
Fax
(717) 795-0541
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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 PC004896 PA Primary

Addresses

Primary practice location

410 E Main St
Mechanicsburg, PA 17055-6515

Mailing address

410 E Main St
Mechanicsburg, PA 17055-6515
Phone (717) 795-8588

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
I20240328001501 PA Practitioner - Mental Health Counselor 2365795168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Care Counseling LLCGroup PAC ID 1557628260, 3 clinicians

Practice addresses (Care Compare)

2215 Forest Hills Dr
Suite 36
Harrisburg, PA 17112-1099
Phone (717) 775-8078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Care Counseling LLC Professional CurrentSince Oct 13, 2016 Accepting new patients
Dr. Kenneth G. Small Past Accepting new patients
Associates in Behavioral Care Past Accepting new patients

Locations

2215 Forest Hills Dr
Ste 36
Harrisburg, PA 17112
Phone (717) 564-6430

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1366774218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556515",
            "telephone_number": "717-795-8588",
            "fax_number": "717-795-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556515",
            "telephone_number": "717-795-8588",
            "fax_number": "717-795-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "MARA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.