Elaine Black Timko, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012230 Issued in PA

Practice address

113D North Broad Street
Grove City, PA 16127

Phone

(724) 992-2244

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 19, 2024 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soul Care Place LLC

  • Professional Counselor
  • Grove City, PA
  • NPI 1063001907
  NPD Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1659907079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MACRAE DR",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274228",
            "telephone_number": "724-992-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113D NORTH BROAD STREET",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "16127",
            "telephone_number": "724-992-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMKO",
        "first_name": "ELAINE",
        "middle_name": "BLACK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olakunle O Taiwo, M.D.
• Michael Tarr, PT
• Heather Taylor
• Margaret Thieman, M.D.
• Kevin A Thomas, D.O.
• Timothy J. Lilly, D.O. & Assoc
• Holly Michelle Tissue-Thompson, PHARMD.
• TMS Physical Therapy PC
• Benjamin James Tokar, M.P.T.
• Transitional Care Center LP

• Professional Counselor in Grove City, PA
• Providers in Grove City, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.