Carol Lippencott

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3591 Pittsburgh Rd
Perryopolis, PA 15473-1307

Phone

(724) 736-8390

NPI assigned

Nov 5, 2021

Sex

Female

Sole proprietor

No

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.

• Polaris Renewal Services, Inc.

  • Methadone Clinic
  • Perryopolis, PA
  • NPI 1619223757
  NPD (past)
• Polaris Renewal Services, Inc.

  • Methadone Clinic
  • Lemont Furnace, PA
  • NPI 1942779467
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2021.

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1437814209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 UNIVERSITY DR",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "154561332",
            "telephone_number": "724-323-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 PITTSBURGH RD",
            "city": "PERRYOPOLIS",
            "state": "PA",
            "postal_code": "154731307",
            "telephone_number": "724-736-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPENCOTT",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Anthony Hawranko, PHARM.D,
• Robert Alan Henson, P.T.
• Rita Johnson
• Bobbi Jordon, LPN
• Erica Lynn Lang
• Jennifer L Loomis, MS, CCC/SLP
• Paige Martin
• Sarah McDermott
• Chelsie Musisko
• Perry Drug Store LLC

• All providers in Perryopolis, PA
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.