Individual provider Active NPI

Lori Konitsky Chaplick, M.A.

  • Mental Health Counselor
  • Leesport, PA
National Provider Identifier
1851665715
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5 S Centre Ave
Suite A5
Leesport, PA 19533-8653
Phone
(215) 939-8429
Fax
(610) 926-9179
NPI assigned
Feb 23, 2012
Last updated
Jun 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

5 S Centre Ave
Suite A5
Leesport, PA 19533-8653

Mailing address

50 Moorenoll St
Schuylkill Haven, PA 17972-2019
Phone (570) 385-1304

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
I20240207001874 PA Practitioner - Mental Health Counselor 7719336296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Associates of Schuylkill County, LLCGroup PAC ID 0547362923, 7 clinicians

Practice addresses (Care Compare)

115 S Centre St
Lowr Level
Pottsville, PA 17901-3000
Phone (570) 622-1025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Schuylkill County, LLC CurrentSince Dec 30, 2023 Accepting new patients
Berks Hypnosis and Counseling Services LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1851665715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOORENOLL ST",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179722019",
            "telephone_number": "570-385-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S CENTRE AVE",
            "address_2": "SUITE A5",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338653",
            "telephone_number": "215-939-8429",
            "fax_number": "610-926-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLICK",
        "first_name": "LORI",
        "middle_name": "KONITSKY",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesport, PA

Sources for this page

Verify at the official NPI Registry.