Individual provider Active NPI

Kristen M Zerovnik, LPC

  • Mental Health Counselor
  • Mount Joy, PA
National Provider Identifier
1851758593
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC011488 Issued in PA
Practice address
815 Bruce Ave.
Mt Joy, PA 17552
Phone
(717) 489-2901
Fax
(717) 366-4662
NPI assigned
Jan 26, 2016
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 LH60779557 WA
Mental Health Counselor 101YM0800X PC011488 PA Primary

Addresses

Primary practice location

815 Bruce Ave.
Mt Joy, PA 17552

Mailing address

751 E High Street
Elizabethtown, PA 17022-1714
Phone (717) 489-2901

Other identifiers 3

IdentifierTypeStateIssuer
104123191-0003MedicaidPA
2085716MedicaidWA
PC011488OtherPALPC

Other names 1

  • Kristen Marie James Former name

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
I20240812001984 PA Practitioner - Mental Health Counselor 4385182195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LL Mulhollem Counseling and Psychotherapy LLCGroup PAC ID 7113346610, 4 clinicians

Practice addresses (Care Compare)

751 E High St
Elizabethtown Office
Elizabethtown, PA 17022-1714
Phone (717) 489-2901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60779557WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
L L Mulhollem Counseling and Psychotherapy, LLC Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

751 E High St
Elizabethtown, PA 17022
Phone (717) 489-2901

751 E High St
Ofc
Elizabethtown, PA 17022
Phone (717) 489-2901

2501 Oregon Pike
Ste 108
Lancaster, PA 17601
Phone (717) 489-2901

Organizations & group practices 1

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1851758593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E HIGH STREET",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221714",
            "telephone_number": "717-489-2901",
            "fax_number": "717-366-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BRUCE AVE.",
            "city": "MT JOY",
            "state": "PA",
            "postal_code": "17552",
            "telephone_number": "717-489-2901",
            "fax_number": "717-366-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEROVNIK",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60779557",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104123191-0003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085716",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "PC011488",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "JAMES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Joy, PA

Sources for this page

Verify at the official NPI Registry.