Active NPI
Brian K Mitten, LPC, NCC
- Professional Counselor
- Carlisle, PA
National Provider Identifier
1669506911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LN PC 001479
- Practice address
- 309 Allen Rd.
Carlisle, PA 17013 - Phone
- (717) 249-7410
- Fax
- (717) 249-7540
- NPI assigned
- Mar 16, 2007
- Last updated
- Oct 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LN PC 001479 | PA | Primary |
Addresses
Primary practice location
309 Allen Rd.
Carlisle, PA 17013
Mailing address
2065 Ritner Hwy.
Carlisle, PA 17015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN PC 001479 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1669506911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2065 RITNER HWY.",
"city": "CARLISLE",
"state": "PA",
"postal_code": "17015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 ALLEN RD.",
"city": "CARLISLE",
"state": "PA",
"postal_code": "17013",
"telephone_number": "717-249-7410",
"fax_number": "717-249-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTEN",
"first_name": "BRIAN",
"middle_name": "K",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "LN PC 001479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.