Organization Active NPI

Vision Counseling Services,LLC

  • Group Psychotherapy Psychologist
  • Brodheadsville, PA
National Provider Identifier
1083998934
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
PC005541 Issued in PA
Legal business name
VISION COUNSELING SERVICES,LLC
Practice address
1843 Route 209
Safeway Storage Complex
Brodheadsville, PA 18322-7134
Phone
(570) 801-7373
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Mr. Michael Clarence Johnston, MHS,LPC,CADC,LCADCNPI 1780999847
Title
Program Director
Phone
(570) 426-0096

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
Group Psychotherapy PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP2701X PC005541 PA Primary

Addresses

Primary practice location

1843 Route 209
Safeway Storage Complex
Brodheadsville, PA 18322-7134

Mailing address

1843 Route 209
South Safeway Complex Suite 1
Brodheadsville, PA 18322-0826
Phone (570) 426-0096

National Provider Directory

National Provider Directory

Locations

1843 Route 209
Ste 1
Brodheadsville, PA 18322

1843 Route 209
Brodheadsville, PA 18322
Phone (570) 426-0096

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": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1083998934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 ROUTE 209",
            "address_2": "SOUTH SAFEWAY COMPLEX SUITE 1",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183220826",
            "telephone_number": "570-426-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 ROUTE 209",
            "address_2": "SAFEWAY STORAGE COMPLEX",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227134",
            "telephone_number": "570-801-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "570-426-0096",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS,LPC,CADC,LCADC"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PA",
            "license": "PC005541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.