Daniel Petrosky, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006694 Issued in PA

Practice address

3208 Benner Pike
Bellefonte, PA 16823-8475

Phone

(814) 359-7999

Fax

(814) 359-7201

NPI assigned

Jul 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Cen Clear Child Services, Inc.

  • Mental Health Counselor
  • Philipsburg, PA
  • NPI 1841289733
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1417565367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "BIGLER",
            "state": "PA",
            "postal_code": "168250319",
            "telephone_number": "814-359-7999",
            "fax_number": "814-359-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 BENNER PIKE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168238475",
            "telephone_number": "814-359-7999",
            "fax_number": "814-359-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpetrosky@cenclear.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3208 Benner Pike",
            "city": "Bellefonte",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168238475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Elise Passarelli, PHDHP, RDH
• Robert Pearce, OTA/L
• Pennsylvania CVS Pharmacy LLC
• Jessica L Perlozzo, PT
• Stephanie R Perrot, BSN, RN
• Marguerite Marie Phelps
• Austin Phillips
• Phoenix Rehabilitation and Health Services, Inc.
• Haley Catherine Plotts, CRNP
• Plumbs Drug Store Co

• Professional Counselor in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.