Individual provider Active NPI

Donna Watson, LPC

  • Counselor
  • Mount Pocono, PA
National Provider Identifier
1922538909
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC009532 Issued in PA
Practice address
1385 Pocono Blvd
Mount Pocono, PA 18344-1678
Phone
(570) 982-6331
Fax
(570) 421-3600
NPI assigned
Jun 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X PC009532 PA Primary

Addresses

Primary practice location

1385 Pocono Blvd
Mount Pocono, PA 18344-1678

Mailing address

1385 Pocono Blvd
Mount Pocono, PA 18344-1678
Phone (570) 982-6331

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

LicenseStateTypeSpecialty
PC009532PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keeping It Real Counseling, LLC Current Accepting new patients
Forensic Counseling Associates, LLC Single Specialty PastSince Jul 24, 2022 Accepting new patients
Forensic Counseling Associates LLC Single Specialty PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922538909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 POCONO BLVD",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441678",
            "telephone_number": "570-982-6331",
            "fax_number": "570-421-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 POCONO BLVD",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441678",
            "telephone_number": "570-982-6331",
            "fax_number": "570-421-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DONNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC009532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pocono, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.