Individual provider Active NPI

Alina Tsirelson, LPC

  • Professional Counselor
  • Southampton, PA
National Provider Identifier
1669983193
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009860 Issued in PA
Practice address
201 Lakeside Park
Southampton, PA 18966-4049
Phone
(267) 342-0010
Fax
(215) 322-1059
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009860 PA Primary

Addresses

Primary practice location

201 Lakeside Park
Southampton, PA 18966-4049

Mailing address

201 Lakeside Park
Southampton, PA 18966-4049
Phone (267) 342-0010

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

LicenseStateTypeSpecialty
PC009860PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sab Group Inc. Past Accepting new patients
Eugene Dyakovetsky MD. PC. PastSince May 26, 2001 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1669983193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664049",
            "telephone_number": "267-342-0010",
            "fax_number": "215-322-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664049",
            "telephone_number": "267-342-0010",
            "fax_number": "215-322-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIRELSON",
        "first_name": "ALINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.