Individual provider Active NPI

Kristin Erika Donatelli, MA, LPC

  • Professional Counselor
  • Hermitage, PA
National Provider Identifier
1649497140
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003819 Issued in PA
Practice address
1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501
Phone
(724) 200-2072
NPI assigned
Apr 19, 2007
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 PC003819 PA Primary

Addresses

Primary practice location

1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501

Mailing address

734 Bobwhite Dr
Hermitage, PA 16148-3262
Phone (724) 200-2072

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
I20251213000373 PA Practitioner - Mental Health Counselor 6204320575 Reassigns benefits to 1 organization
Practice locations: Hermitage, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

456 N Pitt St
Mercer, PA 16137-1129
Phone (724) 662-7202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC003819PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle L Lombardo PastSince Oct 1, 2022 Accepting new patients

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1649497140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 BOBWHITE DR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483262",
            "telephone_number": "724-200-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 SHENANGO VALLEY FWY LOWR LEVEL",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482501",
            "telephone_number": "724-200-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "KRISTIN",
        "middle_name": "ERIKA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.