Individual provider Active NPI

Kate Mazurik, LPC

  • Professional Counselor
  • Peckville, PA
National Provider Identifier
1477249753
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015556 Issued in PA
Practice address
1031 Main St
Peckville, PA 18452-2103
Phone
(570) 307-9037
Fax
(570) 291-4960
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015556 PA Primary
Mental Health Counselor 101YM0800X PC015556 PA

Addresses

Primary practice location

1031 Main St
Peckville, PA 18452-2103

Mailing address

1251 Wyoming Ave
Exeter, PA 18643-1434
Phone (570) 342-8434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212000198 PA Practitioner - Mental Health Counselor 1850758467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiffany Griffiths Psy D and Associates IncGroup PAC ID 5496907776, 14 clinicians

Practice addresses (Care Compare)

1031 Main St
Peckville, PA 18452-2103
Phone (570) 342-8434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Griffiths Psy D & Associates Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Integrated Behavioral Health Services, LLC Professional CurrentSince May 28, 2023 Accepting new patients
Gabriela M Yurkanin DPM PC PastSince Mar 5, 2023 Accepting new patients

Locations

502 N Blakely St
Dunmore, PA 18512
Phone (570) 342-8434

1251 Wyoming Ave
Exeter, PA 18643
Phone (570) 307-9054

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18643/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1477249753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522103",
            "telephone_number": "570-307-9037",
            "fax_number": "570-291-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZURIK",
        "first_name": "KATE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015556",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peckville, PA

Sources for this page

Verify at the official NPI Registry.