Nancy E Lubow PHD LPC Mt- BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003389 Issued in PA

Legal business name

NANCY E LUBOW PHD LPC MT- BC

Doing business as

BrainsmART Therapies: Cross Modal Creative Arts for Trauma

Practice address

1110 N West End Blvd
Quakertown, PA 18951-4107

Phone

(267) 261-9987

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Elizabeth Lubow, PHD LPC MT-BC

Title

Owner and Director

Phone

(267) 261-9987

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• BrainsmART Therapies: Cross Modal Creative Arts for Trauma Doing business as

Locations

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1154785723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189514107",
            "telephone_number": "267-261-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189514107",
            "telephone_number": "267-261-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY E LUBOW PHD LPC MT- BC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "LUBOW",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER AND DIRECTOR",
        "authorized_official_telephone_number": "267-261-9987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LPC MT-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11688809",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825986000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PA",
            "identifier": "PC003389",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTBC",
            "identifier": "06717",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrainsmART Therapies: Cross Modal Creative Arts for Trauma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.