NPIMap

Organization Active NPI

Life'S Journey Counseling Center, Inc.

  • Marriage & Family Therapist
  • Sarver, PA
National Provider Identifier
1013060417
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000048 Issued in PA
Legal business name
LIFE'S JOURNEY COUNSELING CENTER, INC.
Practice address
617 S Pike Rd
Sarver, PA 16055-9202
Phone
(724) 766-9238
Fax
(724) 295-9944
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Karen R. Petroski, M.A., LMFTNPI 1326002866
Title
President
Phone
(724) 766-9238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MF000048 PA Primary

Addresses

Primary practice location

617 S Pike Rd
Sarver, PA 16055-9202

Mailing address

617 S Pike Rd
Sarver, PA 16055-9202
Phone (724) 766-9238

Other identifiers 4

IdentifierTypeStateIssuer
1446927OtherPAHIGHMARK
472813OtherPAVALUEOPTIONS
1016320780001MedicaidPA
410129OtherPAUPMC-COMMERCIAL

National Provider Directory

National Provider Directory

Locations

617 S Pike Rd
Sarver, PA 16055
Phone (724) 766-9238

Practitioners & affiliated clinicians

Practitioners 2

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013060417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S PIKE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559202",
            "telephone_number": "724-766-9238",
            "fax_number": "724-295-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S PIKE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559202",
            "telephone_number": "724-766-9238",
            "fax_number": "724-295-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S JOURNEY COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETROSKI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-766-9238",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1446927",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "472813",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016320780001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC-COMMERCIAL",
            "identifier": "410129",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.