Individual provider Active NPI

Kimberly Sue Marsico, M.S., LPC

  • Professional Counselor
  • Harrisburg, PA
National Provider Identifier
1588909691
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006585 Issued in PA
Practice address
4201 Crums Mill Rd Ste 200
Harrisburg, PA 17112-2893
Phone
(610) 892-3800
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 PC006585 PA Primary

Addresses

Primary practice location

4201 Crums Mill Rd Ste 200
Harrisburg, PA 17112-2893

Mailing address

4201 Crums Mill Rd Ste 200
Harrisburg, PA 17112-2893
Phone (610) 892-3800

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
I20260113003190 PA Practitioner - Mental Health Counselor 1557712171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

4201 Crums Mill Rd
Suite 200
Harrisburg, PA 17112-2893
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC006585PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Connections Professional Counseling Services LLC CurrentSince Sep 23, 2024 Accepting new patients
Delaware County Professional Services, Inc CurrentSince Jan 1, 2026 Accepting new patients
Evolve Professional Counseling Services, LLC Professional PastSince Jul 31, 2022 Accepting new patients

Locations

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

4201 Crums Mill Rd
Ste 200
Harrisburg, PA 17112
Phone (833) 619-1901

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1588909691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CRUMS MILL RD STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122893",
            "telephone_number": "610-892-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CRUMS MILL RD STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122893",
            "telephone_number": "610-892-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSICO",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.