Individual provider Active NPI

Margene Mary Imboden, LPC

  • Mental Health Counselor
  • Harrisburg, PA
National Provider Identifier
1912193574
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006353 Issued in PA
Practice address
121 Locust St
Harrisburg, PA 17101-1411
Phone
(717) 238-8118
Fax
(717) 238-8140
NPI assigned
Sep 18, 2007
Last updated
May 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC006353 PA Primary

Addresses

Primary practice location

121 Locust St
Harrisburg, PA 17101-1411

Mailing address

121 Locust St
Harrisburg, PA 17101-1411
Phone (717) 238-8118

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
I20240515000728 PA Practitioner - Mental Health Counselor 6709227267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman M Chakara PCGroup PAC ID 8527061902, 8 clinicians

Practice addresses (Care Compare)

600 H Eden Rd
Lancaster, PA 17601-4205
Phone (717) 397-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC006353PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman M Chakara PC CurrentSince Mar 31, 2024 Accepting new patients
Pressley Ridge Past Accepting new patients

Locations

600H Eden Rd
Lancaster, PA 17601
Phone (717) 397-1400

Organizations & group practices 2

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1912193574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LOCUST ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011411",
            "telephone_number": "717-238-8118",
            "fax_number": "717-238-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LOCUST ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011411",
            "telephone_number": "717-238-8118",
            "fax_number": "717-238-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBODEN",
        "first_name": "MARGENE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.