Counseling for All Ages, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COUNSELING FOR ALL AGES, LLC

Practice address

50 Snyder Rd
Hermitage, PA 16148-3432

Phone

(724) 705-9121

NPI assigned

Oct 31, 2019

Last updated

Nov 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melody Lynn Wilson, LPC

Title

Owner/Provider

Phone

(724) 705-9121

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1033753132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SNYDER RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483432",
            "telephone_number": "724-705-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SNYDER RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483432",
            "telephone_number": "724-705-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING FOR ALL AGES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "724-705-9121",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "13814654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concierge Psych Med Management
• Sean R. Conrad, PA-C
• Barbara Cornelia, MA
• Lisa Costa
• Samantha Costello, M.S., CCC-SLP
• Covenant Family Medicine
• Colby L Cox, DPM
• Crago Family Medicine P.C.
• Matthew David Crago, D.O.
• Dana Craig, DDS, MS

• Professional Counselor in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.