Organization Active NPI

Central PA Counseling Education and Wellness Services, LLC

  • Clinical Social Worker
  • Wormleysburg, PA
National Provider Identifier
1134081524
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CENTRAL PA COUNSELING EDUCATION AND WELLNESS SERVICES, LLC
Practice address
26 S Front St
Wormleysburg, PA 17043-1332
Phone
(717) 580-9912
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Amanda Shull, EDD,MSW,MSPED,LCSWNPI 1871323329
Title
Owner/Founder/Therapist
Phone
(717) 580-9912

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

26 S Front St
Wormleysburg, PA 17043-1332

Mailing address

26 S Front St
Wormleysburg, PA 17043-1332
Phone (717) 580-9912

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1134081524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431332",
            "telephone_number": "717-580-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431332",
            "telephone_number": "717-580-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PA COUNSELING EDUCATION AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "717-580-9912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD,MSW,MSPED,LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.