NPIMap

Organization Active NPI

Marlee Stefanelli Gen PTR

  • Professional Counselor
  • Blakely, PA
National Provider Identifier
1659694677
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004617 Issued in PA
Legal business name
MARLEE STEFANELLI GEN PTR
Practice address
1714 Main St
Blakely, PA 18447-1362
Phone
(570) 954-7181
Fax
(570) 489-1464
NPI assigned
Mar 4, 2010
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Mrs. Marlee L. Stefanelli, MS, LPCNPI 1639387665
Title
Owner
Phone
(570) 954-7181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC004617 PA Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC004628 PA
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X DN000351 PA

Addresses

Primary practice location

1714 Main St
Blakely, PA 18447-1362

Mailing address

1714 Main St
Blakely, PA 18447-1362
Phone (570) 954-7181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1659694677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471362",
            "telephone_number": "570-954-7181",
            "fax_number": "570-489-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471362",
            "telephone_number": "570-954-7181",
            "fax_number": "570-489-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLEE STEFANELLI GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "STEFANELLI",
        "authorized_official_first_name": "MARLEE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-954-7181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004617",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004628",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blakely, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.