Active NPI
Teresa Mary Palank, MA, BSL, LPC
- Professional Counselor
- Allentown, PA
National Provider Identifier
1962982884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC010245
- Practice address
- 1347 Hausman Rd
Allentown, PA 18104-9063 - Phone
- (610) 573-2500
- Fax
- (610) 573-2598
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH002801 | PA | |
| Professional Counselor | 101YP2500X | PC010245 | PA | Primary |
Addresses
Primary practice location
1347 Hausman Rd
Allentown, PA 18104-9063
Mailing address
915 Powder Mill Rd
Bethlehem, PA 18017-1926
Other practice location 1
6 Danforth Dr
Easton, PA 18045-7820
Phone (610) 252-5550
Other practice location 2
1605 N Cedar Crest Blvd Ste 109
Allentown, PA 18104-2351
Phone (610) 432-7403
Other practice location 3
915 Powder Mill Rd
Bethlehem, PA 18017-1926
Phone (215) 435-2671
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
- Credentials
- Bachelor of Science - Law, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC010245 | PA | MD | Professional Counselor |
| BH002801 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1962982884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 POWDER MILL RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180171926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 HAUSMAN RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049063",
"telephone_number": "610-573-2500",
"fax_number": "610-573-2598"
}
],
"practiceLocations": [
{
"address_1": "6 Danforth Dr",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "PA",
"postal_code": "180457820",
"country_code": "US",
"telephone_number": "610-252-5550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1605 N Cedar Crest Blvd Ste 109",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181042351",
"country_code": "US",
"telephone_number": "610-432-7403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 Powder Mill Rd",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180171926",
"country_code": "US",
"telephone_number": "215-435-2671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALANK",
"first_name": "TERESA",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "MA, BSL, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH002801",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC010245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.