Individual provider Active NPI

Sandra Karina Carnall, LPC

  • Professional Counselor
  • Malvern, PA
National Provider Identifier
1942804844
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012849 Issued in PA
Practice address
425 Technology Dr Ste 200
Malvern, PA 19355-1314
Phone
(215) 292-0894
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 PC012849 PA Primary

Addresses

Primary practice location

425 Technology Dr Ste 200
Malvern, PA 19355-1314

Mailing address

318 Paoli Pike
Malvern, PA 19355-2925
Phone (215) 292-0894

Other practice location 1

318 Paoli Pike
Malvern, PA 19355-2925
Phone (215) 292-0894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • 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
I20240723003342 PA Practitioner - Mental Health Counselor 4486190709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling and Wellness, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

639 Swedesford Rd
Malvern, PA 19355
Phone (610) 529-1579

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, 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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1942804844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 PAOLI PIKE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552925",
            "telephone_number": "215-292-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 TECHNOLOGY DR STE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551314",
            "telephone_number": "215-292-0894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 Paoli Pike",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "PA",
            "postal_code": "193552925",
            "country_code": "US",
            "telephone_number": "215-292-0894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNALL",
        "first_name": "SANDRA",
        "middle_name": "KARINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.