Debora Lynn Mancuso, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC010826 Issued in PA

Practice address

529 Seven Bridge Rd Unit 205
East Stroudsburg, PA 18301-7608

Phone

(570) 807-0267

NPI assigned

Feb 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Restorative Family Services LLC

  • Community/Behavioral Health Agency
  • East Stroudsburg, PA
  • NPI 1528300704
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1487119251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 BARRY ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD UNIT 205",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017608",
            "telephone_number": "570-807-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "DEBORA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC010826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Malcolm III, MD
• Hussain G Malik, M.D., FACS
• Javed I. Malik, MD
• Kashif Nadeem Malik
• Tiffany Marie Malin, ATC
• Murali Manne, M.D.
• Matthew Paul March III, ATC
• Marcy'S Comfort Zone
• Emily Marmarou, D.O.
• Diane Marschall

• Counselor in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.