Individual provider Active NPI

Daniel Kochinsky, MA, LPC

  • Professional Counselor
  • Exton, PA
National Provider Identifier
1912786005
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016626 Issued in PA
Practice address
397 Eagleview Blvd Ste 120
Exton, PA 19341-1150
Phone
(610) 422-3064
Fax
(484) 870-9846
NPI assigned
Sep 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016626 PA Primary

Addresses

Primary practice location

397 Eagleview Blvd Ste 120
Exton, PA 19341-1150

Mailing address

397 Eagleview Blvd Ste 120
Exton, PA 19341-1150
Phone (610) 422-3064

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
I20240126003599 PA Practitioner - Mental Health Counselor 2365895281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Twenty-2 Management Group LLCGroup PAC ID 0749648277, 4 clinicians

Practice addresses (Care Compare)

397 Eagleview Blvd
Suite 120
Exton, PA 19341-1150
Phone (610) 422-3064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC016626PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Twenty-2 Management Group LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

397 Eagleview Blvd
Ste 120
Exton, PA 19341
Phone (484) 368-6978

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1912786005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 EAGLEVIEW BLVD STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411150",
            "telephone_number": "610-422-3064",
            "fax_number": "484-870-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 EAGLEVIEW BLVD STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411150",
            "telephone_number": "610-422-3064",
            "fax_number": "484-870-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHINSKY",
        "first_name": "DANIEL",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.