Mitchell Valburg, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004492 Issued in PA

Practice address

421 S State St
Clarks Summit, PA 18411-1684

Phone

(570) 877-3140

Fax

(570) 253-8242

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mvcounseling LLC

  • Community/Behavioral Health Agency
  • Clarks Summit, PA
  • NPI 1215592209
  NPD Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1780898478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ASHMORE AVE",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111562",
            "telephone_number": "570-877-3140",
            "fax_number": "570-253-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111684",
            "telephone_number": "570-877-3140",
            "fax_number": "570-253-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALBURG",
        "first_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "004492",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "PC004492",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "004492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Douglas Thran, DMD
• Julie Lynn Tinkelman, P.T.
• Treatment Court Advocacy Center of Lackawanna County
• Rachel Tunis, MS,LPC,NCC
• Joshua John Urso, LCSW
• Irene Van Riper, ED.D.
• Viercinski 'S Pharmacy Inc.
• Robert John Viercinski
• Joseph Paul Vilogi, M.D.
• Vision Innovation Centers of Pennsylvania LLC

• Professional Counselor in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.