Melissa Anne Kohberger

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

119 Lamsden Dr
Albrightsville, PA 18210-7004

Phone

(570) 977-2411

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Professional Consultation Services for Psychology,Speech Therapy, Occu

  • Psychologist
  • New Rochelle, NY
  • NPI 1679949036

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1366909772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LAMSDEN DR",
            "city": "ALBRIGHTSVILLE",
            "state": "PA",
            "postal_code": "182107004",
            "telephone_number": "570-977-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LAMSDEN DR",
            "city": "ALBRIGHTSVILLE",
            "state": "PA",
            "postal_code": "182107004",
            "telephone_number": "570-977-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 North Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015109",
            "country_code": "US",
            "telephone_number": "914-235-3674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Lamsden Dr",
            "address_purpose": "LOCATION",
            "city": "Albrightsville",
            "state": "PA",
            "postal_code": "182107004",
            "country_code": "US",
            "telephone_number": "570-977-2411 x57097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Lamsden Dr",
            "address_purpose": "LOCATION",
            "city": "Albrightsville",
            "state": "PA",
            "postal_code": "182107004",
            "country_code": "US",
            "telephone_number": "570-977-2411 x57097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHBERGER",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Albrightsville, PA
• Providers in Albrightsville, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.