Jill Ebersole, LPC
Individual provider Active NPI Professional Counselor · Mount Joy, PA
NPI 1922719764 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1922719764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC015027 (PA)
- Practice address
- 410 S Angle St
Mount Joy, PA 17552-2031 - Phone
- (717) 653-1507
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC015027 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Counseling Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC015027 | PA | Yes |
Addresses
Primary practice location
410 S Angle St
Mount Joy, PA 17552-2031
Mailing address
1345 E Cedar St
Annville, PA 17003-2010
Phone (717) 222-1755
Other providers in Mount Joy, PA
- Donegal School District
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy Institute LLC
- John Clayton Drumm
- Ariana Duran
- Edward C Kassab DMD
- Ralph George Ellenberger
- Silas E Esch
- Kasey E Falcone
- Family Tree Chiropractic Mt Joy LLC
All providers in Mount Joy, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.