Individual provider Active NPI

Donna M Struck, PSY. D., LPC

  • Professional Counselor
  • Mechanicsburg, PA
National Provider Identifier
1831245224
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003227 Issued in PA
Practice address
1150 Lancaster Blvd Ste 101
Mechanicsburg, PA 17055-4495
Phone
(717) 697-7260
Fax
(717) 697-7262
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC003227 PA Primary

Addresses

Primary practice location

1150 Lancaster Blvd Ste 101
Mechanicsburg, PA 17055-4495

Mailing address

1150 Lancaster Blvd Ste 101
Mechanicsburg, PA 17055-4495
Phone (717) 697-7260

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
I20240409000559 PA Practitioner - Marriage and Family Therapist 1456799576 Practice locations: Mechanicsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 Lancaster Blvd
Suite 101
Mechanicsburg, PA 17055-4495
Phone (717) 697-7260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC003227PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1831245224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 LANCASTER BLVD STE 101",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554495",
            "telephone_number": "717-697-7260",
            "fax_number": "717-697-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 LANCASTER BLVD STE 101",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554495",
            "telephone_number": "717-697-7260",
            "fax_number": "717-697-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUCK",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "PSY. D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.