NPIMap

Greencastle Family Practice, PC

Organization Active NPI Mental Health Counselor · Greencastle, PA

NPI 1639201023 · NPPES record last updated Jan 24, 2025

Key facts

NPI
1639201023
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
PC000234 (PA)
Legal business name
GREENCASTLE FAMILY PRACTICE, PC
Practice address
50 Eastern Ave
Suite 115
Greencastle, PA 17225-1100
Phone
(717) 597-0095
Fax
(717) 597-3147
NPI assigned
Mar 12, 2007
Organization subpart
No

Authorized official

Name
Mrs. Jenniffer L Showalter
Title
Exec Assistant
Phone
(223) 465-2025

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

50 Eastern Ave
Ste 135
Greencastle, PA 17225
Phone (717) 597-0095

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YM0800X PC000234 PA Yes
Clinical Neuropsychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103G00000X PS008907L PA

Addresses

Primary practice location

50 Eastern Ave
Suite 115
Greencastle, PA 17225-1100

Mailing address

50 Eastern Ave
Suite 135
Greencastle, PA 17225-1100
Phone (717) 597-0095

Other identifiers

IdentifierTypeStateIssuer
50001005OtherPACAPITAL BLUE CROSS GROUP
706786OtherPAHIGHMARK BLUE SHIELD

Other names

  • Greencastle Family Practice, Counseling and Psychological Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2025.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1639201023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EASTERN AVE",
            "address_2": "SUITE 135",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251100",
            "telephone_number": "717-597-0095",
            "fax_number": "717-597-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EASTERN AVE",
            "address_2": "SUITE 115",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251100",
            "telephone_number": "717-597-0095",
            "fax_number": "717-597-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENCASTLE FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "JENNIFFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXEC ASSISTANT",
        "authorized_official_telephone_number": "223-465-2025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC000234",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS008907L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GROUP",
            "identifier": "50001005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "706786",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greencastle Family Practice, Counseling and Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greencastle Family Practice, Counseling and Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greencastle, PA

All providers in Greencastle, PA · Mental Health Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.