Individual provider Active NPI

Karen Rivera, LPC

  • Mental Health Counselor
  • Lancaster, PA
National Provider Identifier
1710608856
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC013502 Issued in PA
Practice address
1902 Olde Homestead LN
Lancaster, PA 17601-5875
Phone
(717) 390-0353
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC013502 PA Primary

Addresses

Primary practice location

1902 Olde Homestead LN
Lancaster, PA 17601-5875

Mailing address

320 Highland Dr
Mountville, PA 17554-1232
Phone (717) 285-7121

Other identifiers 1

IdentifierTypeStateIssuer
PC013502OtherPASTATE LICENSE NUMBER

Other names 1

  • Karen Cirko Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@csgonline.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013502PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Services Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1902 Olde Homestead Ln
Lancaster, PA 17601
Phone (717) 285-7121

320 Highland Dr
Mountville, PA 17554
Phone (717) 285-7121

1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1710608856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HIGHLAND DR",
            "city": "MOUNTVILLE",
            "state": "PA",
            "postal_code": "175541232",
            "telephone_number": "717-285-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 OLDE HOMESTEAD LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015875",
            "telephone_number": "717-390-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KAREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC013502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PC013502",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@csgonline.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1902 Olde Homestead Ln",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176015875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CIRKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.