Jill Wynne Sober, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009143 Issued in PA

Practice address

22-24 N. Franklin St
Fleetwood, PA 19522

Phone

(610) 944-0445

Fax

(610) 944-1196

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Wynne Sober-White Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jill W Sober, LPC LLC

  • Community/Behavioral Health Agency
  • Easton, PA
  • NPI 1427742899
  NPD
• Concern-Professional Services for Children, Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1053178764
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1043742828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221323",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-24 N. FRANKLIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "19522",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBER",
        "first_name": "JILL",
        "middle_name": "WYNNE",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SOBER-WHITE",
            "middle_name": "WYNNE",
            "credential": "MA LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily E Showalter
• Clayton Rhine Smith, DPM
• Katelyn Lovell Smith
• Marta Smith, MA
• Jennie Snyder
• Matthew David Sowa, D.P.M.
• Jennifer Gail Spangler, D.C.
• Speakez Speech Therapy LLC
• Diane Marie Spignesi-Dillman, M.ED, LPC
• Alexa Staehs

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.