Individual provider Active NPI

Marina Pusateri, L.S.W.

  • Counselor
  • Lock Haven, PA
National Provider Identifier
1760865315
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SW122530 Issued in PA
Practice address
120 S Highland St
Lock Haven, PA 17745-2812
Phone
(570) 748-7173
Fax
(570) 748-5717
NPI assigned
Jul 1, 2015
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SW122530 PA Primary
Mental Health Counselor 101YM0800X SW122530 PA

Addresses

Primary practice location

120 S Highland St
Lock Haven, PA 17745-2812

Mailing address

120 S Highland St
Lock Haven, PA 17745-2812
Phone (570) 748-7173

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
SW122530PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Counseling Inc Mental Health Past Accepting new patients
Keystone Counseling and Evaluation Services PastSince Oct 4, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1760865315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HIGHLAND ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452812",
            "telephone_number": "570-748-7173",
            "fax_number": "570-748-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S HIGHLAND ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452812",
            "telephone_number": "570-748-7173",
            "fax_number": "570-748-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSATERI",
        "first_name": "MARINA",
        "credential": "L.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "SW122530",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW122530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.