Organization Active NPI

Mosaic Counseling Services

  • Community/Behavioral Health Agency
  • Harrisburg, PA
National Provider Identifier
1124274584
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW012788 Issued in PA
Legal business name
MOSAIC COUNSELING SERVICES
Practice address
13 N Progress Ave
#216
Harrisburg, PA 17109-3547
Phone
(717) 540-8041
Fax
(717) 540-8096
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Ms. Theresa A Campbell, LCSW
Title
Ceo/Director
Phone
(717) 540-8041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CW012788 PA Primary

Addresses

Primary practice location

13 N Progress Ave
#216
Harrisburg, PA 17109-3547

Mailing address

13 N Progress Ave
#216
Harrisburg, PA 17109-3547
Phone (717) 540-8041

National Provider Directory

National Provider Directory

Locations

13 N Progress Ave
Ste 216
Harrisburg, PA 17109
Phone (717) 421-3135

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1124274584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 N PROGRESS AVE",
            "address_2": "#216",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093547",
            "telephone_number": "717-540-8041",
            "fax_number": "717-540-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N PROGRESS AVE",
            "address_2": "#216",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093547",
            "telephone_number": "717-540-8041",
            "fax_number": "717-540-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "717-540-8041",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW012788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.