Active NPI
Andrea Kravelick, LPC
- Professional Counselor
- Bethlehem, PA
National Provider Identifier
1780077156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008062
- Practice address
- 308 E Broad St
Bethlehem, PA 18018-6311 - Phone
- (484) 269-6740
- NPI assigned
- Mar 10, 2015
- Last updated
- Oct 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008062 | PA | Primary |
Addresses
Primary practice location
308 E Broad St
Bethlehem, PA 18018-6311
Mailing address
1118 Webster Ave
Allentown, PA 18103-5345
Phone (484) 269-6740
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC008062 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1780077156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 WEBSTER AVE",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035345",
"telephone_number": "484-269-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E BROAD ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180186311",
"telephone_number": "484-269-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVELICK",
"first_name": "ANDREA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.