Individual provider Active NPI

Angela L Facchinei

  • Professional Counselor
  • Mechanicsburg, PA
National Provider Identifier
1497420327
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013480 Issued in PA
Practice address
5006 E Trindle Rd Ste 101
Mechanicsburg, PA 17050-3647
Phone
(717) 243-1326
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 PC013480 PA Primary

Addresses

Primary practice location

5006 E Trindle Rd Ste 101
Mechanicsburg, PA 17050-3647

Mailing address

133 Park PL W
Shippensburg, PA 17257-9212
Phone (717) 372-7409

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
I20240304001083 PA Practitioner - Mental Health Counselor 6800231515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lightfoot Counseling LLCGroup PAC ID 7517302490, 3 clinicians

Practice addresses (Care Compare)

133 Park PL W
Shippensburg, PA 17257-9212
Phone (717) 921-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013480PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Folium, Inc. CurrentSince Aug 15, 2021 Accepting new patients
PA Counseling Co-Op Professional CurrentSince Jan 16, 2024 Accepting new patients
Effective School Solutions LLC Professional Past Accepting new patients

Locations

5006 E Trindle Rd
Ste 101
Mechanicsburg, PA 17050
Phone (717) 243-1326

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1497420327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARK PL W",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579212",
            "telephone_number": "717-372-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 E TRINDLE RD STE 101",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503647",
            "telephone_number": "717-243-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCHINEI",
        "first_name": "ANGELA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.