Katelyn Venable, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014910 Issued in PA

Practice address

6705 Hucknall CT SW
Ocean Isle Beach, NC 28469-6188

Phone

(717) 802-5183

NPI assigned

Sep 22, 2022

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katelyn Sullivan Former name

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Equilibria Mental Health ServicesGroup PAC ID 5698166783, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Equilibria Mental Health Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1225792872
  Medicare reassignment Care Compare group NPD
• Equilibria Psychological and Consultation Services, LLC

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1356454045
  NPD
• Equilibria Mental Health of New Jersey LLC

  dba Equilibria Psychological & Consultation Services

  • Clinical Psychologist
  • Maple Shade, NJ
  • NPI 1841090032
  NPD (past)
• Philhaven

  dba WellSpan Philhaven

  • Psychiatric Hospital
  • Lebanon, PA
  • NPI 1972598076
  NPD (past)

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1740903921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 HUCKNALL CT SW",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284696188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 HUCKNALL CT SW",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284696188",
            "telephone_number": "717-802-5183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Pennwick Dr",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439486",
            "country_code": "US",
            "telephone_number": "717-802-5183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Oregon Pike Ste 113",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014890",
            "country_code": "US",
            "telephone_number": "717-735-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENABLE",
        "first_name": "KATELYN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "SULLIVAN",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunset Imaging,LLC
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• Tri County Community Health Council Inc
• Triangle Home Health Care, Inc
• Justin Randolph Valentine, DDS
• Alison Deborah Wall, PT
• Terron Eugene Yoder Jr., DMD
• Stephanie Zerrillo-Greco, M.ED., BCBA

• Professional Counselor in Ocean Isle Beach, NC
• Providers in Ocean Isle Beach, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.

Verify at the official NPI Registry.