Individual provider Active NPI

Kathryne Louise Lewis

  • Counselor
  • Wallaceton, PA
National Provider Identifier
1760991772
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2770 Wallaceton Morrisdale Hwy
Wallaceton, PA 16876
Phone
(814) 553-6805
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2770 Wallaceton Morrisdale Hwy
Wallaceton, PA 16876

Mailing address

2770 Wallaceton Morrisdale Hwy
PO Box 38
Wallaceton, PA 16876
Phone (814) 553-6805

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
I20240207001622 PA Practitioner - Mental Health Counselor 2163865114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne B Reedy PHD, Psychology and Counseling Associates, LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

1165 Philipsburg Bigler Hwy
Philipsburg, PA 16866
Phone (814) 937-0668

Organizations & group practices 1

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1760991772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 WALLACETON MORRISDALE HWY",
            "address_2": "PO BOX 38",
            "city": "WALLACETON",
            "state": "PA",
            "postal_code": "16876",
            "telephone_number": "814-553-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 WALLACETON MORRISDALE HWY",
            "city": "WALLACETON",
            "state": "PA",
            "postal_code": "16876",
            "telephone_number": "814-553-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KATHRYNE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallaceton, PA

Sources for this page

Verify at the official NPI Registry.