Active NPI
BD Counseling Services LLC
- Professional Counselor
- Elizabethtown, PA
National Provider Identifier
1003319641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008154
- Legal business name
- BD COUNSELING SERVICES LLC
- Practice address
- 28 S Poplar St Ste 102
Elizabethtown, PA 17022-2158 - Phone
- (717) 682-8215
- Fax
- (888) 977-1063
- NPI assigned
- Mar 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Blake Dematteo, MS LPC
- Title
- Owner
- Phone
- (717) 682-8215
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | PC008154 | PA | Primary |
Addresses
Primary practice location
28 S Poplar St Ste 102
Elizabethtown, PA 17022-2158
Mailing address
28 S Poplar St Ste 102
Elizabethtown, PA 17022-2158
Phone (717) 682-8215
National Provider Directory
National Provider DirectoryLocations
28 S Poplar St
Ste 102
Elizabethtown, PA 17022
Phone (717) 682-8215
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521417600000",
"number": "1003319641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 S POPLAR ST STE 102",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170222158",
"telephone_number": "717-682-8215",
"fax_number": "888-977-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 S POPLAR ST STE 102",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170222158",
"telephone_number": "717-682-8215",
"fax_number": "888-977-1063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BD COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-19",
"status": "A",
"authorized_official_last_name": "DEMATTEO",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "BLAKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-682-8215",
"authorized_official_credential": "MS LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.