Audrey Avila – Mental Health Counselor

Key facts

NPI: 1023623915
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 2058 Maple Ave Apt M1-10
Hatfield, PA 19440-1452
Phone: (215) 353-8931
NPI assigned: Sep 9, 2020
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

2058 Maple Ave Apt M1-10
Hatfield, PA 19440-1452

Mailing address

2058 Maple Ave Apt M1-10
Hatfield, PA 19440-1452
Phone (215) 353-8931

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	livingtree@audreyavila.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2020.

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1023623915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 MAPLE AVE APT M1-10",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401452",
            "telephone_number": "215-353-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 MAPLE AVE APT M1-10",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401452",
            "telephone_number": "215-353-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "livingtree@audreyavila.com",
            "affiliation": "N",
            "address_1": "2058 Maple Ave Apt M1-10",
            "city": "Hatfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194401452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hatfield, PA

All providers in Hatfield, PA · Mental Health Counselor in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.