Organization Active NPI

Itsa Playful Journey

  • Professional Counselor
  • Lancaster, PA
National Provider Identifier
1740305218
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003842 Issued in PA
Legal business name
ITSA PLAYFUL JOURNEY
Practice address
2173 Embassy Dr.,
Suite 164
Lancaster, PA 17603
Phone
(717) 431-2027
Fax
(717) 431-2014
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Ms. Dianne Jean Mathias, MHS, LPC, RPT-S
Title
Child and Family Therapist
Phone
(717) 431-2027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X PC003842 PA Primary

Addresses

Primary practice location

2173 Embassy Dr.,
Suite 164
Lancaster, PA 17603

Mailing address

2173 Embassy Dr.,
Suite 164
Lancaster, PA 17603
Phone (717) 431-2027

Other identifiers 3

IdentifierTypeStateIssuer
PC003842OtherPALICENSED PROFESSIONAL
MIS220198000OtherPAMAGELLAN HEALTH SERVICES
50064527OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Its a Playful Journey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2173 Embassy Dr
Ste 164
Lancaster, PA 17603
Phone (717) 431-2027

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1740305218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 EMBASSY DR.,",
            "address_2": "SUITE 164",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-431-2027",
            "fax_number": "717-431-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 EMBASSY DR.,",
            "address_2": "SUITE 164",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-431-2027",
            "fax_number": "717-431-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITSA PLAYFUL JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "717-431-2027",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHS, LPC, RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL",
            "identifier": "PC003842",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "MIS220198000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50064527",
            "state": "PA"
        }
    ],
    "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 Jan 30, 2014; 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.