NPIMap

Organization Active NPI

Glad Services Counseling and Coaching Center

  • Marriage & Family Therapist
  • Wyomissing, PA
National Provider Identifier
1023386117
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000592 Issued in PA
Legal business name
GLAD SERVICES COUNSELING AND COACHING CENTER
Practice address
4 Wellington Blvd
Wyomissing, PA 19610-1850
Phone
(610) 678-0266
Fax
(610) 678-3698
NPI assigned
Dec 5, 2011
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Mr. Daniel L Derrer, L.M.F.TNPI 1720130057
Title
Director
Phone
(610) 678-7300

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 Therapist 106H00000X MF000592 PA Primary

Addresses

Primary practice location

4 Wellington Blvd
Wyomissing, PA 19610-1850

Mailing address

1110 Snyder Rd
West Lawn, PA 19609-1151
Phone (610) 678-7300

National Provider Directory

National Provider Directory
Tax ID family
Glad Services Counseling and Coaching Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1110 Snyder Rd
West Lawn, PA 19609
Phone (610) 678-7300

4 Wellington Blvd
Wyomissing, PA 19610
Phone (610) 678-0266

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1023386117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SNYDER RD",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091151",
            "telephone_number": "610-678-7300",
            "fax_number": "610-678-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WELLINGTON BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101850",
            "telephone_number": "610-678-0266",
            "fax_number": "610-678-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAD SERVICES COUNSELING AND COACHING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "DERRER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-678-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.F.T"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.