Krystal Lynn Kotacska, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP14273 Issued in MD

Practice address

196 Homestead Dr
Hanover, PA 17331-8052

Phone

(717) 324-7581

NPI assigned

Oct 3, 2023

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elysian Therapeutics LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, MD
  • NPI 1265258461
  NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1891575353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 HOMESTEAD DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318052",
            "telephone_number": "717-324-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 HOMESTEAD DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318052",
            "telephone_number": "717-324-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Manchester Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "MD",
            "postal_code": "211021850",
            "country_code": "US",
            "telephone_number": "410-861-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTACSKA",
        "first_name": "KRYSTAL",
        "middle_name": "LYNN",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP14273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Kondrasuk, MS, NCC, LPC
• Jennifer Lynn Kopp, PT
• Nancy Ann Korber
• Gerard-M. Kosko, D.C.
• Elizabeth Ceceile Kostin, RPH
• Koury Family Eye Care, LLC
• John J. Koury, O.D.
• Michelle A. Koury, O.D.
• Gretchen M Krebs, LCSW
• Christopher D Krepps

• Mental Health Counselor in Hanover, PA
• Providers in Hanover, 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 Sep 4, 2024; 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.