NPIMap

Organization Active NPI

Vita Counseling Partners

  • Clinical Social Worker
  • Palmerton, PA
National Provider Identifier
1144524638
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015916 Issued in PA
Legal business name
VITA COUNSELING PARTNERS
Practice address
3295 Forest Inn Rd Ste 3
Palmerton, PA 18071-5467
Phone
(610) 826-8482
Fax
(610) 826-8483
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Pamela Tibbs, LCSWNPI 1831478999
Title
Clinical Director
Phone
(855) 826-8482

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW015916 PA Primary

Addresses

Primary practice location

3295 Forest Inn Rd Ste 3
Palmerton, PA 18071-5467

Mailing address

3295 Forest Inn Rd Ste 3
Palmerton, PA 18071-5467
Phone (610) 826-8482

Other practice location 1

3735 Easton Nazareth Hwy Ste 102
Easton, PA 18045-8345
Phone (855) 826-8482 ext. 102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000545 PA Part B Supplier - Clinic/Group Practice 8426235060 Receives reassigned benefits from 6 practitioners
Practice locations: Easton, PA; Palmerton, PA

National Provider Directory

National Provider Directory

Locations

3295 Forest Inn Rd
Ste 3
Palmerton, PA 18071
Phone (610) 826-8482

Practitioners & affiliated clinicians

Practitioners 11

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": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1144524638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN RD STE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715467",
            "telephone_number": "610-826-8482",
            "fax_number": "610-826-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN RD STE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715467",
            "telephone_number": "610-826-8482",
            "fax_number": "610-826-8483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3735 Easton Nazareth Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180458345",
            "country_code": "US",
            "telephone_number": "855-826-8482 x102",
            "fax_number": "833-329-8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITA COUNSELING PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "TIBBS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "855-826-8482",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.