Active NPI
Mary Kaitlin Novak, M.S., N.C.C., L.P.C.
- Counselor
- Harrisburg, PA
National Provider Identifier
1558845024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC010490
- Practice address
- 3605 Vartan Way, Suite 204a
Harrisburg, PA 17110 - Phone
- (717) 215-2429
- Fax
- (717) 963-7142
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC010490 | PA | Primary |
Addresses
Primary practice location
3605 Vartan Way, Suite 204a
Harrisburg, PA 17110
Mailing address
50 Cottage Avenue
Lancaster, PA 17602
Phone (717) 215-2429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC010490 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1558845024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COTTAGE AVENUE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17602",
"telephone_number": "717-215-2429",
"fax_number": "717-963-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 VARTAN WAY, SUITE 204A",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17110",
"telephone_number": "717-215-2429",
"fax_number": "717-963-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "MARY",
"middle_name": "KAITLIN",
"name_prefix": "Mrs.",
"credential": "M.S., N.C.C., L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC010490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.