Individual provider Active NPI

Victoria Ann Kasaczun, MA, ATR-BC, LPC

  • Professional Counselor
  • Red Lion, PA
National Provider Identifier
1720818149
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017462 Issued in PA
Practice address
2555 Cape Horn Rd
Red Lion, PA 17356-9057
Phone
(717) 600-0900
Fax
(717) 600-0910
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 PC017462 PA Primary

Addresses

Primary practice location

2555 Cape Horn Rd
Red Lion, PA 17356-9057

Mailing address

2555 Cape Horn Rd
Red Lion, PA 17356-9057
Phone (717) 600-0900

Other practice location 1

1891 Santa Barbara Dr Ste 102
Lancaster, PA 17601-4106
Phone (717) 936-9758

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
I20241104000665 PA Practitioner - Mental Health Counselor 1456884154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krem Capital IncGroup PAC ID 7416311774, 15 clinicians

Practice addresses (Care Compare)

1891 Santa Barbara Dr
Suite 102
Lancaster, PA 17601-4106
Phone (717) 936-9758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Red Lion Chiropractic, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Krem Capital, Inc Professional CurrentSince Sep 27, 2024 Accepting new patients
Pennsylvania Comprehensive Behavioral Health Services, LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

2925 Oakland Rd
Dover, PA 17315

109 E Canal St
Dover, PA 17315

3205 Carlisle Rd
Dover, PA 17315

4500 Intermediate Ave
Dover, PA 17315

46 W Canal St
Dover, PA 17315
Phone (717) 292-3671

5161 N Salem Church Rd
Dover, PA 17315

1891 Santa Barbara Dr
Ste 102
Lancaster, PA 17601
Phone (717) 553-1192

2555 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 600-0900

1700 Bannister St
York, PA 17404

1900 Brenda Rd
York, PA 17408

1800 Bannister St
York, PA 17404
Phone (717) 817-2831

2625 W Philadelphia St
York, PA 17404

Organizations & group practices 3

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1720818149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569057",
            "telephone_number": "717-600-0900",
            "fax_number": "717-600-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569057",
            "telephone_number": "717-600-0900",
            "fax_number": "717-600-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1891 Santa Barbara Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014106",
            "country_code": "US",
            "telephone_number": "717-936-9758",
            "fax_number": "717-618-6730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASACZUN",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "MA, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

Verify at the official NPI Registry.