Individual provider Active NPI

Mary Kathleen McNulty, MT-BC, LPC

  • Counselor
  • Jenkintown, PA
National Provider Identifier
1780446526
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC011093 Issued in PA
Practice address
261 Old York Rd Ste 318
Jenkintown, PA 19046-3709
Phone
(215) 885-3337
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC011093 PA Primary

Addresses

Primary practice location

261 Old York Rd Ste 318
Jenkintown, PA 19046-3709

Mailing address

261 Old York Rd Ste 318
Jenkintown, PA 19046-3709
Phone (215) 885-3337

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
I20240206004589 PA Practitioner - Mental Health Counselor 7517300593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sri Psychological Services PCGroup PAC ID 1456331214, 34 clinicians

Practice addresses (Care Compare)

261 Old York Rd
Suite 318
Jenkintown, PA 19046-3709
Phone (215) 885-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC011093PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sri Psychological Services, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

261 Old York Rd
Ste 318
Jenkintown, PA 19046
Phone (215) 371-3490

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1780446526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 318",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463709",
            "telephone_number": "215-885-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 318",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463709",
            "telephone_number": "215-885-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "MT-BC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC011093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.