Individual provider Active NPI

Peter Intoccia, BH

  • Counselor
  • Lancaster, PA
National Provider Identifier
1861807950
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
BH001779 Issued in PA
Practice address
1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745
Phone
(717) 391-0172
Fax
(717) 391-7771
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X BH001779 PA Primary

Addresses

Primary practice location

1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745

Mailing address

1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745
Phone (717) 391-0172

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

LicenseStateTypeSpecialty
BH001779PAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1861807950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016745",
            "telephone_number": "717-391-0172",
            "fax_number": "717-391-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016745",
            "telephone_number": "717-391-0172",
            "fax_number": "717-391-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTOCCIA",
        "first_name": "PETER",
        "credential": "BH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "BH001779",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.