Individual provider Active NPI

Mary Beth Bauerle, MA, LPC.

  • Mental Health Counselor
  • Chalfont, PA
National Provider Identifier
1457976003
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC010639 Issued in PA
Practice address
213 Cassandra Dr
Chalfont, PA 18914-2026
Phone
(215) 913-9193
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC010639 PA Primary

Addresses

Primary practice location

213 Cassandra Dr
Chalfont, PA 18914-2026

Mailing address

213 Cassandra Dr
Chalfont, PA 18914-2026
Phone (215) 913-9193

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Chalfont Direct

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 Arts

State licenses

LicenseStateTypeSpecialty
PC010639PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1457976003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CASSANDRA DR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142026",
            "telephone_number": "215-913-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CASSANDRA DR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142026",
            "telephone_number": "215-913-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUERLE",
        "first_name": "MARY BETH",
        "name_prefix": "Ms.",
        "credential": "MA, LPC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC010639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chalfont",
            "affiliation": "N",
            "endpointDescription": "primary office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "213 Cassandra Dr",
            "city": "Chalfont",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189142026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.