Individual provider Active NPI

Kelsey Alina Emhardt, LPC

  • Professional Counselor
  • Wexford, PA
National Provider Identifier
1720413487
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009062 Issued in PA
Practice address
9983 Perry Hwy
Wexford, PA 15090-9297
Phone
(724) 935-1555
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90574 NY
Professional Counselor 101YP2500X PC009062 PA Primary

Addresses

Primary practice location

9983 Perry Hwy
Wexford, PA 15090-9297

Mailing address

9983 Perry Hwy
Wexford, PA 15090-9297
Phone (724) 935-1555

Other names 1

  • Kelysey Alina Schroth Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
90574NYMDMental Health Counselor
PC009062PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Life Center Corp 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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1720413487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9983 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909297",
            "telephone_number": "724-935-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9983 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909297",
            "telephone_number": "724-935-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMHARDT",
        "first_name": "KELSEY",
        "middle_name": "ALINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "90574",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELYSEY",
            "last_name": "SCHROTH",
            "middle_name": "ALINA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.