Timothy Robert Test Sr., PHD
Individual provider Active NPI Professional Counselor · Waynesboro, PA
NPI 1629374657 · NPPES record last updated Jan 21, 2015
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2022.
Key facts
- NPI
- 1629374657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC007874 (PA)
- Practice address
- 1663 E Main St
Waynesboro, PA 17268-1874 - Phone
- (717) 473-4980
- NPI assigned
- Feb 9, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007874 | PA | MD | Health Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dohi Center for Well-Being | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Health Psychologist | 103TH0004X | |||
| Rehabilitation Psychologist | 103TR0400X | |||
| Professional Counselor | 101YP2500X | PC007874 | PA | Yes |
| Health Psychologist | 103TH0004X | PC007874 | PA |
Addresses
Primary practice location
1663 E Main St
Waynesboro, PA 17268-1874
Mailing address
1663 E Main St
Waynesboro, PA 17268-1874
Phone (717) 473-4980
Other providers in Waynesboro, PA
- Connie Lorraine Suffecool
- Jana Lynn Swartz-Gillitzer
- Jay Bharat Tahiliani
- Matthew Tapper
- Robert J Ternes
- The Chiropractic Edge
- Theodore H. Cryer, M.D., F.a.C.S.
- Thrift Drug Inc
- Ethan Tucker
- Jake Turner
All providers in Waynesboro, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.