Individual provider Active NPI

Catherine Conklin, LPC

  • Professional Counselor
  • Phoenixville, PA
National Provider Identifier
1588252019
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012914 Issued in PA
Practice address
601 Gay St
Phoenixville, PA 19460-3852
Phone
(610) 917-2200
NPI assigned
Jan 11, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 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 PC012914 PA Primary

Addresses

Primary practice location

601 Gay St
Phoenixville, PA 19460-3852

Mailing address

220 Cheshire Cir
West Chester, PA 19380-6707
Phone (610) 506-2546

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
I20250815001016 PA Practitioner - Mental Health Counselor 6608375803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collegeville Psychological Center IncGroup PAC ID 7618917378, 4 clinicians

Practice addresses (Care Compare)

3301 Ridge Pike
Eagleville, PA 19403-1411
Phone (610) 917-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC012914PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collegeville Psychological Center Inc Professional CurrentSince Jul 9, 2025 Accepting new patients
Penn Psychiatric Center Inc CurrentSince Jan 17, 2021 Accepting new patients

Locations

3774 Ridge Pike
Collegeville, PA 19426
Phone (610) 489-3333

601 Gay St
Phoenixville, PA 19460
Phone (610) 917-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1588252019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHESHIRE CIR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806707",
            "telephone_number": "610-506-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GAY ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603852",
            "telephone_number": "610-917-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "CATHERINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.