Individual provider Active NPI

Dana Pallo, MA, LPC

  • Professional Counselor
  • Throop, PA
National Provider Identifier
1619310463
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006828 Issued in PA
Practice address
631 Sanderson St
Throop, PA 18512-1255
Phone
(570) 382-3552
Fax
(570) 382-3559
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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 PC006828 PA Primary

Addresses

Primary practice location

631 Sanderson St
Throop, PA 18512-1255

Mailing address

631 Sanderson St
Throop, PA 18512-1255
Phone (570) 382-3552

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 Arts

State licenses

LicenseStateTypeSpecialty
PC006828PAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1619310463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SANDERSON ST",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "185121255",
            "telephone_number": "570-382-3552",
            "fax_number": "570-382-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SANDERSON ST",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "185121255",
            "telephone_number": "570-382-3552",
            "fax_number": "570-382-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLO",
        "first_name": "DANA",
        "name_prefix": "Miss",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Throop, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.