Individual provider Active NPI

Stephanie Kapustic

  • Counselor
  • Allentown, PA
National Provider Identifier
1619347978
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
546 Hamilton St
Allentown, PA 18101-1503
Phone
(484) 221-8296
NPI assigned
Sep 30, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

546 Hamilton St
Allentown, PA 18101-1503

Mailing address

546 Hamilton St
Allentown, PA 18101-1503

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
I20240612001410 PA Practitioner - Mental Health Counselor 7214479799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley OutlooksGroup PAC ID 7517498835, 3 clinicians

Practice addresses (Care Compare)

2204 Walbert Ave
Allentown, PA 18104-1439
Phone (610) 844-7122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Outlooks CurrentSince Oct 1, 2024 Accepting new patients
Quaker State Medical Services Co Inc PastSince Apr 2, 2024 Accepting new patients

Locations

2204 Walbert Ave
Allentown, PA 18104
Phone (484) 245-4282

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1619347978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011503",
            "telephone_number": "484-221-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUSTIC",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.