Individual provider Active NPI

Marsha Sue Chase

  • Marriage & Family Therapist
  • Edinboro, PA
National Provider Identifier
1669002671
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF001103 Issued in PA
Practice address
201 Granada Dr
Edinboro, PA 16412-2363
Phone
(814) 273-3067
NPI assigned
Jan 17, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF001103 PA Primary

Addresses

Primary practice location

201 Granada Dr
Edinboro, PA 16412-2363

Mailing address

201 Granada Dr
Edinboro, PA 16412-2363
Phone (814) 273-3067

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
I20240308002548 PA Practitioner - Marriage and Family Therapist 3678919982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Senior Care Therapy Services, PCGroup PAC ID 8123269149, 23 clinicians

Practice addresses (Care Compare)

630 Freedom Business Ctr Dr
FL 3
King of Prussia, PA 19406-1331
Phone (800) 275-3243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MF001103PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Care Therapy Services PC CurrentSince Jan 23, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jun 7, 2024 Accepting new patients

Locations

630 Freedom Business Ctr Dr
Fl 3
King of Prussia, PA 19406
Phone (484) 686-1008

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

208 Fernbrook Ave
Wyncote, PA 19095
Phone (610) 668-8553

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1669002671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GRANADA DR",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122363",
            "telephone_number": "814-273-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GRANADA DR",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122363",
            "telephone_number": "814-273-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "MARSHA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

Verify at the official NPI Registry.