Organization Active NPI

BD Counseling Services LLC

  • Professional Counselor
  • Elizabethtown, PA
National Provider Identifier
1003319641
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008154 Issued in PA
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

Updated by the provider on Mar 19, 2018

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.