Active NPI
Anna Haroun Mahdavi
- Professional Counselor
- Covington TWP, PA
National Provider Identifier
1902437585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011018
- Practice address
- 260 Daleville Hwy Ste 106
Covington TWP, PA 18444-7951 - Phone
- (570) 904-7363
- Fax
- (570) 348-4079
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC011018 | PA | Primary |
Addresses
Primary practice location
260 Daleville Hwy Ste 106
Covington TWP, PA 18444-7951
Mailing address
228 S Main Ave
Scranton, PA 18504-2545
Phone (570) 904-7363
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC011018 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1902437585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 S MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042545",
"telephone_number": "570-904-7363",
"fax_number": "570-348-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 DALEVILLE HWY STE 106",
"city": "COVINGTON TWP",
"state": "PA",
"postal_code": "184447951",
"telephone_number": "570-904-7363",
"fax_number": "570-348-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAROUN MAHDAVI",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.