| T.w. Ponessa & Associates Counseling Services, Inc. | |
|
410 N. Prince Street Lancaster PA 17603-3010 | |
| (717) 560-7917 | |
| (717) 560-6452 |
| Full Name | T.w. Ponessa & Associates Counseling Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 410 N. Prince Street, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Cathy A Deguire (CEO) |
| Authorized Official Contact | 7175607917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T.w. Ponessa & Associates Counseling Services, Inc. 410 N. Prince Street Lancaster PA 17603-3010 Ph: (717) 560-7917 | T.w. Ponessa & Associates Counseling Services, Inc. 410 N. Prince Street Lancaster PA 17603-3010 Ph: (717) 560-7917 |
| NPI Number | 1053341859 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 05/16/2016 |
| Medicare PECOS PAC ID | 7810991924 |
|---|---|
| Medicare Enrollment ID | O20071004000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053341859 | NPI | - | NPPES |
| 1007759330035 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 311720 (Pennsylvania) | Primary |
| Provider Name | Maurice R Picciotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376652487 PECOS PAC ID: 8820077167 Enrollment ID: I20040719001243 |
| Provider Name | Theresa Marie Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346355740 PECOS PAC ID: 1759304694 Enrollment ID: I20060106000296 |
| Provider Name | Gregory S Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306961503 PECOS PAC ID: 9234230178 Enrollment ID: I20070723000561 |
| Provider Name | Alok Saharan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376756148 PECOS PAC ID: 9931290822 Enrollment ID: I20070807000412 |
| Provider Name | Letitia A Covaci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316069560 PECOS PAC ID: 3779661921 Enrollment ID: I20080429000276 |
| Provider Name | Maria T Reis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124195680 PECOS PAC ID: 3375694847 Enrollment ID: I20090623000340 |
| Provider Name | Vassili V Arkadiev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295952851 PECOS PAC ID: 9032151121 Enrollment ID: I20101213000222 |
| Provider Name | Mary K Mutschler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437465002 PECOS PAC ID: 0648457804 Enrollment ID: I20110615000808 |
| Provider Name | Eugenia U Abonyi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760686042 PECOS PAC ID: 0749468395 Enrollment ID: I20110629000691 |
| Provider Name | Felicia Dejesus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104138676 PECOS PAC ID: 4981828548 Enrollment ID: I20140623000417 |
| Provider Name | Bethany G Sampsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497189500 PECOS PAC ID: 5698098051 Enrollment ID: I20150223001581 |
| Provider Name | Theresa E Fry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508167974 PECOS PAC ID: 2961728969 Enrollment ID: I20150311000087 |
| Provider Name | Stephanie B Mendel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104175082 PECOS PAC ID: 5193042323 Enrollment ID: I20150326001330 |
| Provider Name | April H Mandeville Palm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861702201 PECOS PAC ID: 9335455187 Enrollment ID: I20150825004147 |
| Provider Name | Robert I Sack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124148721 PECOS PAC ID: 7618983719 Enrollment ID: I20160929001252 |
| Provider Name | David G Prado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073946919 PECOS PAC ID: 2365718103 Enrollment ID: I20171024001528 |
| Provider Name | Ezioma C Onwukanjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902375116 PECOS PAC ID: 8325376056 Enrollment ID: I20190820001228 |
| Provider Name | Matthew P Berliant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023455904 PECOS PAC ID: 1557699592 Enrollment ID: I20190828003141 |
| Provider Name | Debra K Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689796351 PECOS PAC ID: 7113255118 Enrollment ID: I20190829001659 |
| Provider Name | Heather A Merkert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447682059 PECOS PAC ID: 4486982352 Enrollment ID: I20190830000476 |
| Provider Name | Marianys Delgado Alazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275062150 PECOS PAC ID: 4082966460 Enrollment ID: I20191003001581 |
| Provider Name | Amy D Seifarth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528483310 PECOS PAC ID: 3577894690 Enrollment ID: I20191003002548 |
| Provider Name | Maura L.p Fascetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457902686 PECOS PAC ID: 5597197400 Enrollment ID: I20191114002271 |
| Provider Name | Amy M Rominski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578086567 PECOS PAC ID: 5890196794 Enrollment ID: I20210630000115 |
| Provider Name | Kristian K Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679033088 PECOS PAC ID: 4688916018 Enrollment ID: I20220919000700 |
| Provider Name | Mikaila E Lugo-schlegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346959129 PECOS PAC ID: 5597136390 Enrollment ID: I20230113000264 |
| Provider Name | Rebecca Ae Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336705953 PECOS PAC ID: 0840644209 Enrollment ID: I20231004000270 |
| Provider Name | Angela M Krause |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164833976 PECOS PAC ID: 0840649364 Enrollment ID: I20231209000202 |
| Provider Name | Alaina Manley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730844713 PECOS PAC ID: 9931558384 Enrollment ID: I20240122004346 |
| Provider Name | Sharon Mccamant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699540641 PECOS PAC ID: 4284086513 Enrollment ID: I20240122004421 |
| Provider Name | Catherine Deguire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427469915 PECOS PAC ID: 9739268442 Enrollment ID: I20240212000631 |
| Provider Name | Annette J Faul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578816906 PECOS PAC ID: 0446609895 Enrollment ID: I20240216001124 |
| Provider Name | Ivan Vega Pacheco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932805090 PECOS PAC ID: 4082058748 Enrollment ID: I20240221001631 |
| Provider Name | Casey B Harbaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033513569 PECOS PAC ID: 6800234386 Enrollment ID: I20240403000438 |
| Provider Name | Jennifer A Mcswain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841856952 PECOS PAC ID: 9436597911 Enrollment ID: I20240403000454 |
| Provider Name | Nicole M Robb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760892012 PECOS PAC ID: 4981042462 Enrollment ID: I20240403000475 |
| Provider Name | Rebekah E Vanzandt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205615085 PECOS PAC ID: 6709224280 Enrollment ID: I20240403000485 |
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