Active NPI
Katherine Judithlynn Stefanelli, LPC
- Professional Counselor
- Dunmore, PA
National Provider Identifier
1417162249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004456
- Practice address
- 502 N Blakely St
Dunmore, PA 18512-1943 - Phone
- (570) 342-8434
- Fax
- (570) 342-7446
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004456 | PA | Primary |
Addresses
Primary practice location
502 N Blakely St
Dunmore, PA 18512-1943
Mailing address
4009 Pond View Dr
South Abington Township, PA 18411-8739
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004456 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1417162249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 POND VIEW DR",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 N BLAKELY ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185121943",
"telephone_number": "570-342-8434",
"fax_number": "570-342-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANELLI",
"first_name": "KATHERINE",
"middle_name": "JUDITHLYNN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.