Individual provider Active NPI

Michael J. Stolarik, MS ED

  • Professional Counselor
  • Allentown, PA
National Provider Identifier
1417050725
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015432 Issued in PA
Practice address
1005 Brookside Rd Ste 105
Allentown, PA 18106-9026
Phone
(484) 268-2399
Fax
(484) 268-2325
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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 PC015432 PA Primary

Addresses

Primary practice location

1005 Brookside Rd Ste 105
Allentown, PA 18106-9026

Mailing address

1005 Brookside Rd Ste 105
Allentown, PA 18106-9026
Phone (484) 268-2399

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
PC015432PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Center for Child and Family Development, LLC CurrentSince Mar 19, 2023 Accepting new patients

Locations

1005 Brookside Rd
Ste 105
Allentown, PA 18106
Phone (484) 268-2399

Interoperability endpoints

  • Direct secure messaging: michael.stolarik.1@32853.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1417050725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROOKSIDE RD STE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069026",
            "telephone_number": "484-268-2399",
            "fax_number": "484-268-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROOKSIDE RD STE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069026",
            "telephone_number": "484-268-2399",
            "fax_number": "484-268-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLARIK",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.