Individual provider Active NPI

Ashley Anne Klink

  • Professional Counselor
  • Mercer, PA
National Provider Identifier
1497323885
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011265 Issued in PA
Practice address
456 N Pitt St
Mercer, PA 16137-1129
Phone
(724) 662-7202
Fax
(724) 662-7208
NPI assigned
Jun 14, 2021
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011265 PA Primary

Addresses

Primary practice location

456 N Pitt St
Mercer, PA 16137-1129

Mailing address

456 N Pitt St
Mercer, PA 16137-1129
Phone (724) 662-7202

Other names 1

  • Ashley Anne Delfratte Former name

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
I20240206004165 PA Practitioner - Mental Health Counselor 8426491499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

456 N Pitt St
Mercer, PA 16137-1129
Phone (724) 662-7202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paoletta Counseling Services, Inc CurrentSince Dec 3, 2023 Accepting new patients
Paoletta Counseling Services, Inc CurrentSince Dec 3, 2023 Accepting new patients

Locations

456 N Pitt St
Mercer, PA 16137
Phone (724) 662-7202

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1497323885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N PITT ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371129",
            "telephone_number": "724-662-7202",
            "fax_number": "724-662-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N PITT ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371129",
            "telephone_number": "724-662-7202",
            "fax_number": "724-662-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINK",
        "first_name": "ASHLEY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DELFRATTE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mercer, PA

Sources for this page

Verify at the official NPI Registry.