Active NPI
Mary Theresa King-Linares, MCAT,ADTR,LPC
- Professional Counselor
- Lancaster, PA
National Provider Identifier
1699834895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC001215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corporation
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC001215 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Healthcare Corporation | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.