Individual provider Active NPI

Mary Theresa King-Linares, MCAT,ADTR,LPC

  • Professional Counselor
  • Lancaster, PA
National Provider Identifier
1699834895
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001215 Issued in PA
Practice address
545 Pershing Ave
Lancaster, PA 17602-4369
Phone
(717) 293-4150
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PC001215 PA Primary

Addresses

Primary practice location

545 Pershing Ave
Lancaster, PA 17602-4369

Mailing address

435 Saint Joseph St
Lancaster, PA 17603-5236
Phone (717) 291-1012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606003962 PA Practitioner - Mental Health Counselor 1658813571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Drexel University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Healthcare CorporationGroup PAC ID 1456448851, 5 clinicians

Practice addresses (Care Compare)

822 Marietta Ave
Lancaster, PA 17603-3239
Phone (717) 399-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC001215PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Corporation CurrentSince May 20, 2024 Accepting new patients

Locations

822 Marietta Ave
Ste 12
Lancaster, PA 17603

822 Marietta Ave
Lancaster, PA 17603
Phone (717) 391-2660

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699834895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SAINT JOSEPH ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176035236",
            "telephone_number": "717-291-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PERSHING AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024369",
            "telephone_number": "717-293-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-LINARES",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "MCAT,ADTR,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.