Individual provider Active NPI

Melanie Shustack

  • Professional Counselor
  • Perkasie, PA
National Provider Identifier
1508328295
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010995 Issued in PA
Practice address
4 S Ridge Rd
Perkasie, PA 18944-1711
Phone
(215) 257-3375
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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 PC010995 PA Primary

Addresses

Primary practice location

4 S Ridge Rd
Perkasie, PA 18944-1711

Mailing address

3547 Ridge Rd
Perkasie, PA 18944-3934
Phone (215) 795-2684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC010995PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lenape Valley Foundation Professional Current Accepting new patients
Lenape Valley Foundation CurrentSince Jan 23, 2024 Accepting new patients
Lenape Valley Foundation Professional CurrentSince Jan 23, 2024 Accepting new patients

Locations

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1508328295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 RIDGE RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189443934",
            "telephone_number": "215-795-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S RIDGE RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189441711",
            "telephone_number": "215-257-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTACK",
        "first_name": "MELANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perkasie, PA

Sources for this page

Verify at the official NPI Registry.