NPIMap

Organization Active NPI

Gentle Force Counseling Services

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Jenkintown, PA
National Provider Identifier
1073128690
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
GENTLE FORCE COUNSELING SERVICES
Practice address
610 York Rd Ste 400
Jenkintown, PA 19046-2866
Phone
(215) 820-3235
Fax
(844) 605-1833
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Antoinette Bogan, MS, MS, BSL, TF-CBTNPI 1265973978
Title
Clinical Director
Phone
(215) 820-3235

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

610 York Rd Ste 400
Jenkintown, PA 19046-2866

Mailing address

610 York Rd Ste 400
Jenkintown, PA 19046-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250221001270 PA Part B Supplier - Clinic/Group Practice 3678982956 Receives reassigned benefits from 2 practitioners
Practice locations: Elkins Park, PA

National Provider Directory

National Provider Directory
Tax ID family
Gentle Force Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8080 Old York Rd
Ste 206
Elkins Park, PA 19027
Phone (215) 820-3235

Practitioners & affiliated clinicians

Practitioners 3

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": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1073128690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 YORK RD STE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 YORK RD STE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462866",
            "telephone_number": "215-820-3235",
            "fax_number": "844-605-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FORCE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "215-820-3235",
        "authorized_official_credential": "MS, MS, BSL, TF-CBT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.