Deidre Lupia

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC013761 Issued in PA

Practice address

1235 Penn Ave Ste 305
Wyomissing, PA 19610-2100

Phone

(484) 525-0509

NPI assigned

Jan 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 11, 2024 through Oct 11, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Deidre LPC, LLC

  • Adult Mental Health Clinic/Center
  • Wyomissing, PA
  • NPI 1487485918
  NPD Authorized official
• Sanctuary Counseling LLC

  • Professional Counselor
  • Douglassville, PA
  • NPI 1366655797

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1689182560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE STE 305",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "484-525-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE STE 305",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "484-525-0509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Turning Leaf Way",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196059112",
            "country_code": "US",
            "telephone_number": "484-525-0509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPIA",
        "first_name": "DEIDRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC013761",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC013761",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1366655797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Li-Hong Lu, M.D.
• Jacob William Lucas, D.O.
• Casey Alexandra Luciano
• Luke Ministries
• Minou Luo, DMD
• Charles K. Lutz, M.D.
• Luxottica of America Inc
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Ashley Janae Lynch

• Professional Counselor in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.