Individual provider Active NPI

Samantha Lee Bekisz, LAPC

  • Professional Counselor
  • Danville, PA
National Provider Identifier
1972331312
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC000224 Issued in PA
Practice address
418 Railroad St Ste 101
Danville, PA 17821-1547
Phone
(570) 293-9567
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 APC000224 PA Primary

Addresses

Primary practice location

418 Railroad St Ste 101
Danville, PA 17821-1547

Mailing address

64 E 8TH St
Bloomsburg, PA 17815-2702
Phone (570) 293-9567

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
APC000224PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rose and Thorn Counseling LLC Professional CurrentSince Jul 28, 2024 Accepting new patients

Locations

418 Railroad St
Ste 101
Danville, PA 17821
Phone (570) 218-8309

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1972331312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E 8TH ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152702",
            "telephone_number": "570-293-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 RAILROAD ST STE 101",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211547",
            "telephone_number": "570-293-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKISZ",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC000224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.