Organization Active NPI

Christopher Hershman

Doing business as Covenant Counseling PC

  • Psychologist
  • Allentown, PA
National Provider Identifier
1144356106
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007502 L Issued in PA
Legal business name
CHRISTOPHER HERSHMAN
Doing business as
Covenant Counseling PC
Practice address
923 Brookside Rd
Allentown, PA 18106-9441
Phone
(610) 366-7880
Fax
(610) 366-1960
NPI assigned
Feb 26, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Christopher Hershman, MA, STM, DMIN
Title
Licensed Psychologist
Phone
(610) 366-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS007502 L PA Primary

Addresses

Primary practice location

923 Brookside Rd
Allentown, PA 18106-9441

Mailing address

923 Brookside Rd
P.O. Box 3303
Allentown, PA 18106-9441
Phone (610) 366-7880

Other identifiers 1

IdentifierTypeStateIssuer
1015894220001MedicaidPA

Other names 1

  • Covenant Counseling PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1144356106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 BROOKSIDE RD",
            "address_2": "P.O. BOX 3303",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069441",
            "telephone_number": "610-366-7880",
            "fax_number": "610-366-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 BROOKSIDE RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069441",
            "telephone_number": "610-366-7880",
            "fax_number": "610-366-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER HERSHMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "HERSHMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-366-7880",
        "authorized_official_credential": "MA, STM, DMIN"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007502 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015894220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Counseling PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.