Individual provider Active NPI

Cara Marie Koslow, M.S., N.C.C., L.P.C.

  • Mental Health Counselor
  • Blakely, PA
National Provider Identifier
1386856664
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC004550 Issued in PA
Practice address
1714 Main St
Blakely, PA 18447
Phone
(570) 284-3486
Fax
(570) 489-1464
NPI assigned
May 7, 2007
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC004550 PA Primary
Professional Counselor 101YP2500X PC004550 PA

Addresses

Primary practice location

1714 Main St
Blakely, PA 18447

Mailing address

1714 Main St
Blakely, PA 18447
Phone (570) 284-3486

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

LicenseStateTypeSpecialty
PC004550PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Counseling, LLC Professional Past Accepting new patients

Organizations & group practices 1

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1386856664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "18447",
            "telephone_number": "570-284-3486",
            "fax_number": "570-489-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "18447",
            "telephone_number": "570-284-3486",
            "fax_number": "570-489-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSLOW",
        "first_name": "CARA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., N.C.C., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004550",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blakely, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.