Active NPI
Evelyn Janet Wald, LPC
- Pastoral Counselor
- Centre Hall, PA
National Provider Identifier
1841497963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- PC000627
- Practice address
- 241 S Pennsylvania Avenue
Centre Hall, PA 16828 - Phone
- (814) 364-1130
- NPI assigned
- Jul 2, 2007
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | PC000627 | PA | Primary |
Addresses
Primary practice location
241 S Pennsylvania Avenue
Centre Hall, PA 16828
Mailing address
PO Box 98
241 S Pennsylvania Avenue
Centre Hall, PA 16828
Phone (814) 364-1130
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 |
|---|---|---|---|
| PC000627 | PA | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841497963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"address_2": "241 S PENNSYLVANIA AVENUE",
"city": "CENTRE HALL",
"state": "PA",
"postal_code": "16828",
"telephone_number": "814-364-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 S PENNSYLVANIA AVENUE",
"city": "CENTRE HALL",
"state": "PA",
"postal_code": "16828",
"telephone_number": "814-364-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALD",
"first_name": "EVELYN",
"middle_name": "JANET",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "PA",
"license": "PC000627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centre Hall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.