Jamie Via

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017547 Issued in PA

Practice address

4918 Locust LN
Harrisburg, PA 17109-4519

Phone

(717) 671-9610

Fax

(717) 671-9680

NPI assigned

Sep 21, 2011

Last updated

Mar 4, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, PA
  • NPI 1366534620
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1679856272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465040",
            "telephone_number": "717-272-5464",
            "fax_number": "717-273-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094519",
            "telephone_number": "717-671-9610",
            "fax_number": "717-671-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIA",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Lynn Vergales, MSW ACSW LCSW BCD
• Mamta Verma, M.D.
• Louis Verna, MA, CACII
• Joseph A. Vetrano, MD
• Irina G Veytsman, M.D.
• Vibrant Life Human Services
• Serenity Vidot, M.S. CF-SLP
• Villa Teresa
• Mayerlis Villafane
• Rodrigo Alejandro Villalta Quezada, MD

• Psychologist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.