Individual provider Active NPI

Elisa Joy Seibert, PH.D., M.DIV.

  • Counseling Psychologist
  • York, PA
National Provider Identifier
1699019695
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS017298 Issued in PA
Practice address
2550 Kingston Rd Ste 211
York, PA 17402
Phone
(717) 755-5736
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS017298 PA Primary

Addresses

Primary practice location

2550 Kingston Rd Ste 211
York, PA 17402

Mailing address

1755 Oregon Pike
Suite 200
Lancaster, PA 17601-4272
Phone (717) 581-5255

Other practice location 1

1755 Oregon Pike
Suite 200
Lancaster, PA 17601-4272
Phone (717) 581-5255

Other practice location 2

645 N 12th St Ste 300
Lemoyne, PA 17043-1219
Phone (717) 730-2090

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017298PAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Consultants Past Accepting new patients

Organizations & group practices 1

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1699019695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 OREGON PIKE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014272",
            "telephone_number": "717-581-5255",
            "fax_number": "717-581-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 KINGSTON RD STE 211",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-755-5736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 Oregon Pike",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014272",
            "country_code": "US",
            "telephone_number": "717-581-5255",
            "fax_number": "717-581-5259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 N 12th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lemoyne",
            "state": "PA",
            "postal_code": "170431219",
            "country_code": "US",
            "telephone_number": "717-730-2090",
            "fax_number": "717-730-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "ELISA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.DIV.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS017298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.