Active NPI
Audrey Jean Karlesky, L.P.C.
- Professional Counselor
- Lancaster, PA
National Provider Identifier
1841564515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC002616
- Practice address
- 780 Eden Rd
Lancaster, PA 17601-4275 - Phone
- (717) 735-0515
- Fax
- (866) 568-5755
- NPI assigned
- Feb 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | PC002616 | PA | Primary |
Addresses
Primary practice location
780 Eden Rd
Lancaster, PA 17601-4275
Mailing address
780 Eden Rd
Lancaster, PA 17601-4275
Phone (717) 735-0515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020755310001 | Medicaid | PA |
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 |
|---|---|---|---|
| PC002616 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1841564515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 EDEN RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014275",
"telephone_number": "717-735-0515",
"fax_number": "866-568-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 EDEN RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014275",
"telephone_number": "717-735-0515",
"fax_number": "866-568-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARLESKY",
"first_name": "AUDREY",
"middle_name": "JEAN",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC002616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020755310001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.