Active NPI
Carol L Carr
- Professional Counselor
- Wescosville, PA
National Provider Identifier
1568496644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC 001259
- Practice address
- 4949 Liberty LN
Suite 5
Wescosville, PA 18106-9017 - Phone
- (610) 821-9422
- Fax
- (610) 820-6308
- NPI assigned
- Jul 11, 2006
- Last updated
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC 001259 | PA | Primary |
Addresses
Primary practice location
4949 Liberty LN
Suite 5
Wescosville, PA 18106-9017
Mailing address
4949 Liberty LN
Suite 5
Wescosville, PA 18106-9017
Phone (610) 821-9422
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 534087 | Other | PA | VALUE OPTIONS |
| 576006000 | Other | PA | MAGELLAN |
| 1663381 | Other | PA | AMERIHEALTH |
| 353221 | Other | PA | MANAGED HEALTH NETWORK |
| 50025746 | Other | PA | CAPITAL BLUE CROSS |
| 230382 | Other | PA | UBH |
| 7760554 | Other | PA | AETNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC 001259 | PA | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Professional Counselor
- Wescosville, PA
- NPI 1871946566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1568496644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 LIBERTY LN",
"address_2": "SUITE 5",
"city": "WESCOSVILLE",
"state": "PA",
"postal_code": "181069017",
"telephone_number": "610-821-9422",
"fax_number": "610-820-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 LIBERTY LN",
"address_2": "SUITE 5",
"city": "WESCOSVILLE",
"state": "PA",
"postal_code": "181069017",
"telephone_number": "610-821-9422",
"fax_number": "610-820-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "CAROL",
"middle_name": "L",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC 001259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "534087",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "576006000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "1663381",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "353221",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50025746",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "230382",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7760554",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wescosville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.