Individual provider Active NPI

Kirin Uzar, LPC

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1649988163
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015067 Issued in PA
Practice address
90 S Commerce Way Ste 300
Bethlehem, PA 18017-8611
Phone
(610) 691-8401
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 PC015067 PA Primary

Addresses

Primary practice location

90 S Commerce Way Ste 300
Bethlehem, PA 18017-8611

Mailing address

90 S Commerce Way Ste 300
Bethlehem, PA 18017-8611
Phone (610) 691-8401

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
I20240301001318 PA Practitioner - Mental Health Counselor 1557719747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

90 S Commerce Way
Suite 300
Bethlehem, PA 18017-8611
Phone (610) 691-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC015067PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Concern-Professional Services for Children, Youth & Families CurrentSince Jan 27, 2024 Accepting new patients
Concern-Professional Services for Children, Youth & Families Current Accepting new patients
Concern-Professional Services for Children, Youth & Families CurrentSince Jan 27, 2024 Accepting new patients
Concern-Professional Services for Children, Youth & Families PastSince Jun 21, 2022 Accepting new patients

Locations

90 S Commerce Way
Ste 300
Bethlehem, PA 18017
Phone (610) 691-0647

175 S 21st St
Easton, PA 18042
Phone (610) 253-4898

175 S 21st St
Ste 2
Easton, PA 18042
Phone (484) 896-9990

1 W Main St
Fleetwood, PA 19522

63 3rd St
Ste 103
Mansfield, PA 16933
Phone (570) 622-7600

Organizations & group practices 4

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1649988163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S COMMERCE WAY STE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178611",
            "telephone_number": "610-691-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S COMMERCE WAY STE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178611",
            "telephone_number": "610-691-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZAR",
        "first_name": "KIRIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.