Overcomer Medical Clinic

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OVERCOMER MEDICAL CLINIC

Practice address

112 W Main St
Lock Haven, PA 17745-1246

Phone

(570) 858-5720

Fax

(570) 484-9450

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Adam Lamey

Title

Owner

Phone

(272) 202-8111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1144064726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451246",
            "telephone_number": "570-858-5720",
            "fax_number": "570-484-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451246",
            "telephone_number": "570-858-5720",
            "fax_number": "570-484-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "LAMEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "272-202-8111"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lock Haven, PA
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• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.