Organization Active NPI

Soul Care Place LLC

  • Professional Counselor
  • Grove City, PA
National Provider Identifier
1063001907
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOUL CARE PLACE LLC
Practice address
113 N Broad St Ste D
Grove City, PA 16127-1653
Phone
(724) 264-5506
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Elaine B Timko, LPC, NCCNPI 1659907079
Title
Director
Phone
(724) 992-2244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

113 N Broad St Ste D
Grove City, PA 16127-1653

Mailing address

104 Macrae Dr
Grove City, PA 16127-4228
Phone (724) 992-2244

National Provider Directory

National Provider Directory

Locations

113 N Broad St
Ste D
Grove City, PA 16127
Phone (724) 264-5506

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": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1063001907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MACRAE DR",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274228",
            "telephone_number": "724-992-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N BROAD ST STE D",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271653",
            "telephone_number": "724-264-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CARE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "TIMKO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-992-2244",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.