Individual provider Active NPI

Carolyn Alicia Demarra, M.S., LPC, CBIS

  • Professional Counselor
  • Lancaster, PA
National Provider Identifier
1932618360
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
009566 Issued in PA
Practice address
1817 Olde Homestead LN Ste 201
Lancaster, PA 17601-6751
Phone
(717) 394-3466
Fax
(717) 394-1252
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 009566 PA Primary

Addresses

Primary practice location

1817 Olde Homestead LN Ste 201
Lancaster, PA 17601-6751

Mailing address

1326 Clayton Rd
Lancaster, PA 17603-2402

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
I20250408003964 PA Practitioner - Mental Health Counselor 8628592862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

538 N Queen St
Suite 100
Lancaster, PA 17603-3027
Phone (717) 394-8908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009566PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Multi-Specialty CurrentSince Apr 28, 2025 Accepting new patients
Lancaster General Medical Group Professional Current Accepting new patients
Lancaster General Medical Group Multi-Specialty CurrentSince Apr 28, 2025 Accepting new patients
Acadia Acquisition Inc Multi-Specialty Past Accepting new patients
Acadia, Inc. Professional Past Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

538 N Queen St
Ste 100
Lancaster, PA 17603
Phone (717) 394-8908

Organizations & group practices 5

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1932618360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CLAYTON RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 OLDE HOMESTEAD LN STE 201",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016751",
            "telephone_number": "717-394-3466",
            "fax_number": "717-394-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARRA",
        "first_name": "CAROLYN",
        "middle_name": "ALICIA",
        "credential": "M.S., LPC, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "009566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.