Kira Marie Pokrivsak
Individual provider Active NPI Professional Counselor · Wind Gap, PA
NPI 1760195960 · NPPES record last updated Jan 3, 2023
Key facts
- NPI
- 1760195960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC015066 (PA)
- Practice address
- 16 S Broadway Ste 2
Wind Gap, PA 18091-1431 - Phone
- (610) 863-5035
- NPI assigned
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC015066 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC015066 | PA | Yes |
Addresses
Primary practice location
16 S Broadway Ste 2
Wind Gap, PA 18091-1431
Mailing address
80 Schoeneck Ave
Nazareth, PA 18064-1216
Phone (484) 866-3838
Other providers in Wind Gap, PA
- Lauri Ann Passeri
- Peaks and Valleys Counseling & Therapy Services, PLLC
- Pennsylvania CVS Pharmacy LLC
- Pinebrook Family Answers
- Plainfield Township Volunteer Fire Co
- Mark Wright Powell
- Progressive Pain Solutions LLC
- Amulia Rai
- Christie L Razavi
- Alison Roll
All providers in Wind Gap, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.