Active NPI
Laura Thomas Chickson, M.ED., LPC
- Counselor
- Kingston, PA
National Provider Identifier
1609926518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC003592
- Practice address
- 400 3Rd Ave Ste 206
Kingston, PA 18704-5816 - Phone
- (570) 392-6611
- NPI assigned
- Jan 11, 2007
- Last updated
- Apr 15, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC003592 | PA | Primary |
Addresses
Primary practice location
400 3Rd Ave Ste 206
Kingston, PA 18704-5816
Mailing address
306 Luzerne Ave
West Pittston, PA 18643-2234
Phone (570) 877-3808
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC003592 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1609926518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 LUZERNE AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186432234",
"telephone_number": "570-877-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 3RD AVE STE 206",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045816",
"telephone_number": "570-392-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICKSON",
"first_name": "LAURA",
"middle_name": "THOMAS",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC003592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.