Active NPI
Lauren Eastwick, LPC, NCC
- Mental Health Counselor
- Harleysville, PA
National Provider Identifier
1457880692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC005846
- Practice address
- 409 Hoffman Rd
Harleysville, PA 19438-2183 - Phone
- (215) 264-2272
- NPI assigned
- Jun 10, 2017
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC005846 | PA | Primary |
Addresses
Primary practice location
409 Hoffman Rd
Harleysville, PA 19438-2183
Mailing address
PO Box 255
Lederach, PA 19450-0255
Other practice location 1
701 Cross Road
Lederach, PA 19450-0255
Phone (215) 264-2272
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 |
|---|---|---|---|
| PC005846 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457880692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255",
"city": "LEDERACH",
"state": "PA",
"postal_code": "194500255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 HOFFMAN RD",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382183",
"telephone_number": "215-264-2272"
}
],
"practiceLocations": [
{
"address_1": "701 CROSS ROAD",
"address_purpose": "LOCATION",
"city": "LEDERACH",
"state": "PA",
"postal_code": "194500255",
"country_code": "US",
"telephone_number": "215-264-2272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASTWICK",
"first_name": "LAUREN",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC005846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harleysville, PA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.