Organization Active NPI

Mandy Doria, LPC, LLC

  • Counselor
  • Scranton, PA
National Provider Identifier
1023552908
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC007053 Issued in PA
Legal business name
MANDY DORIA, LPC, LLC
Practice address
327 N Washington Ave
Suite 601
Scranton, PA 18503-1549
Phone
(570) 650-6450
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Amanda Doria Ellard, LPC
Title
Owner, Counselor
Phone
(570) 650-6450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X PC007053 PA Primary

Addresses

Primary practice location

327 N Washington Ave
Suite 601
Scranton, PA 18503-1549

Mailing address

327 N Washington Ave
Suite 601
Scranton, PA 18503-1549
Phone (570) 650-6450

National Provider Directory

National Provider Directory

Locations

327 N Washington Ave
Ste 601
Scranton, PA 18503
Phone (570) 483-8850

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": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1023552908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N WASHINGTON AVE",
            "address_2": "SUITE 601",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031549",
            "telephone_number": "570-650-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N WASHINGTON AVE",
            "address_2": "SUITE 601",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031549",
            "telephone_number": "570-650-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDY DORIA, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "ELLARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DORIA",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "570-650-6450",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC007053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.