Georg Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC004689 Issued in PA

Legal business name

GEORG ASSOCIATES

Practice address

1518 Walnut St
Suite 607
Philadelphia, PA 19102-3419

Phone

(484) 324-8370

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Lola Georg, LPC

Title

Licensed Professional Counselor

Phone

(484) 324-8370

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1053786863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W SEDGWICK ST",
            "address_2": "SUITE A106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193045",
            "telephone_number": "484-324-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST",
            "address_2": "SUITE 607",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023419",
            "telephone_number": "484-324-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORG ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "GEORG",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "484-324-8370",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "12359148",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• George L Rodriguez MD PC
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• George L. Rodriguez, M.D.
• George L. Rodriguez, M.D., P.C.
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• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.