MARY LOU KUNKLE (NPI# 1114925757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114925757 |
| Entity Type | Individual |
| Full Name | MARY LOU KUNKLE |
| Credential | LPC |
| Practice Address |
6079 Main St East Petersburg PA 17520 |
| Mailing Address |
200 North 7th St Lebanon PA 17046 |
| Practice Telephone | 7175601908 |
| Practice Fax Number | 7175604941 |
| Mailing Telephone | 7172731710 |
| Mailing Fax Number | 7172731416 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC000724 | PA | Behavioral Health & Social Service Providers |
| Street Address |
6079 MAIN ST |
| City | EAST PETERSBURG |
| State | PA |
| Zip Code | 17520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329704 | William R Adams | Psychologist | 6079 Main St, East Petersburg, PA 17520-1267 | 2005-07-08 |
| 1427663186 | Sarah Poirier | Counselor | 6079 Main St, East Petersburg, PA 17520-1267 | 2020-09-10 |
| 1376196071 | Birttney Miller | Counselor | 6079 Main St, East Petersburg, PA 17520-1267 | 2019-07-22 |
| 1467926840 | Jonathan Reese | Counselor | 6079 Main St, East Petersburg, PA 17520-1267 | 2019-01-18 |
| 1760919773 | Taylor Spinella | Counselor | 6079 Main St, East Petersburg, PA 17520-1267 | 2017-05-22 |
| 1578789558 | Glinda Johnson Medland | Social Worker | 6079 Main St, East Petersburg, PA 17520-1267 | 2007-04-18 |
| 1952301442 | Michelle Dianne Bookman | Social Worker | 6079 Main St, East Petersburg, PA 17520-1267 | 2005-07-26 |
| 1841299799 | Teresa D Williams | Psychologist | 6079 Main St, East Petersburg, PA 17520-1267 | 2005-07-21 |
| 1619976677 | John C Grisbacher | Psychologist | 6079 Main St, East Petersburg, PA 17520-1267 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649728437 | Lisa Loiseau | Physical Therapist | 1895 Graystone Road, East Petersburg, PA 17520 | 2016-09-21 |
| 1063780013 | Drayer Physical Therapy Institute LLC | Physical Therapist | 5665b Main Street, East Petersburg, PA 17520 | 2011-12-06 |
| 1417126160 | Abby Peters | Counselor | 1987 State St, East Petersburg, PA 17520 | 2008-02-27 |
| 1306979018 | John Robert Richard | Dentist | 5995 Reeves Rd, East Petersburg, PA 17520 | 2007-03-13 |
| 1922187798 | Daniel M Dinse | Dentist | 1890 State Street, East Petersburg, PA 17520 | 2006-11-03 |
| 1710983978 | Lehigh Valley Respiratory Care Lancaster Inc | Durable Medical Equipment & Medical Supplies | 1176 Enterprise Ct, East Petersburg, PA 17520 | 2005-06-22 |
| 1225156110 | Tammy Lucas King | Psychologist | 6079 Main Street, East Petersburg, PA 17520 | 2007-03-27 |
| 1518203488 | Renee S Yeater | Emergency Medical Technician, Basic | 2209 Olde Meadow Ct, East Petersburg, PA 17520-1023 | 2012-12-21 |
| 1417331539 | Christina Langseth | Counselor | 2518 Chrismar Way, E Petersburg, PA 17520-1025 | 2015-07-18 |
| 1649471376 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6321 Jackson Dr, East Petersburg, PA 17520-1117 | 2007-05-30 |
| Find all providers in zip 17520 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225185309 | Katie Hoch Mount | Counselor | 1987 State St Ste 204, East Petersburg, PA 17520-1324 | 2007-01-04 |
| 1053969675 | Michael Allen Osborne | Counselor | 1987 State St, East Petersburg, PA 17520-1324 | 2019-08-27 |
| 1740757442 | Amy Titzer Professional Counseling, LLC | Counselor | 1987 State St Ste 206, East Petersburg, PA 17520-1324 | 2018-10-31 |
| 1689043473 | Robin W. Lecrone | Counselor | 1987 State St Ste 204, East Petersburg, PA 17520-1324 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427806 | Emerald Grove Wellness LLC | Counselor | 214 Brickyard Rd, Mars, PA 16046-3006 | 2020-11-08 |
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1811598949 | Amy Lynn Protho | Counselor | 3495 Butler St Ste 3, Pittsburgh, PA 15201-1375 | 2020-11-04 |
| 1447851662 | Shari Mcclaren Counseling | Counselor | 1360 Eisenhower Blvd Ste 404, Johnstown, PA 15904-3341 | 2020-11-04 |
| 1467053835 | Margaret A Connors | Counselor | 811 Williamsburg Blvd, Downingtown, PA 19335-4124 | 2020-11-03 |
| 1033719794 | Paul Sliva | Counselor | 1040 E Windhaven Rd # A, Pittsburgh, PA 15205-8700 | 2020-10-30 |
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1477153344 | Brianne Marie Wagner | Counselor | 720 Rowena Dr Ste 202, Ebensburg, PA 15931-2038 | 2020-10-29 |
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST PETERSBURG |
| Zip Code | 17520 |
Please comment or provide details below to improve the information on MARY LOU KUNKLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.