Kaitlin Marshall

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW139929 Issued in PA

Practice address

516 W 4TH St
Lewistown, PA 17044-2083

Phone

(717) 363-4973

NPI assigned

Apr 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Wellspring Counseling Center

  • Mental Health Counselor
  • Lewistown, PA
  • NPI 1508245390
  NPD

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1891483285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 4TH ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442083",
            "telephone_number": "717-363-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 4TH ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442083",
            "telephone_number": "717-363-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW139929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Manbeck, RN, BSN
• Kimberly J. Manganaro, M.D.
• Ivana L Marji, MD
• Dawn Michelle Markel, LPN
• Scott David Marlowe, MD
• Deborah L Martin, LMT
• Sasha Marie Martin, DPT
• Julie Ann Martinez, RDN, LDN
• Lauren Mathews, RDN
• Min Min Maw, M.D.

• Mental Health Counselor in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.