Marika Sian Horacek-Kunkle, ATR-BC, LPC

Primary specialty

Art TherapistTaxonomy code 221700000X

License

17-132 Issued in PA

Practice address

122 W Lancaster Ave
Shillington, PA 19607-1881

Phone

(484) 509-0499

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whole Life Counseling and Consulting, LLCGroup PAC ID 8628410644, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Whole Life Counseling & Consulting, LLC

  • Marriage & Family Therapist
  • Lebanon, PA
  • NPI 1124691688

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kelly Ozelski LLC

  • Marriage & Family Therapist
  • Lebanon, PA
  • NPI 1245849413

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1659992907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 EARL ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196051949",
            "telephone_number": "917-913-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W LANCASTER AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071881",
            "telephone_number": "484-509-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORACEK-KUNKLE",
        "first_name": "MARIKA",
        "middle_name": "SIAN",
        "credential": "ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "PA",
            "license": "17-132",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Henne, M.A., SLP
• Douglas John Henschel, D.D.S.
• Richard Grant Hershey, PTA-INDIRECT SUPERVI
• Ashlee Rose Hess, LCSW
• Stephanie Lynne Hollos, PTA
• Constance Humberston
• I Am Here, LLC
• Insightful Expressions
• Insite Health
• Amanda Jackson

• Art Therapist in Shillington, PA
• Providers in Shillington, PA by specialty
• Art Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.