Individual provider Active NPI

Nicholas G Demaria

  • Mental Health Counselor
  • Douglassville, PA
National Provider Identifier
1164072252
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1125 Benjamin Franklin Hwy West
Douglassville, PA 19518
Phone
(610) 385-3155
NPI assigned
Sep 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1125 Benjamin Franklin Hwy West
Douglassville, PA 19518

Mailing address

155 Davis Rd
Malvern, PA 19355-3427

Other practice location 1

2784 Egypt Rd
Audubon, PA 19403-2255
Phone (610) 850-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1164072252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DAVIS RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BENJAMIN FRANKLIN HWY WEST",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "19518",
            "telephone_number": "610-385-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2784 Egypt Rd",
            "address_purpose": "LOCATION",
            "city": "Audubon",
            "state": "PA",
            "postal_code": "194032255",
            "country_code": "US",
            "telephone_number": "610-850-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMARIA",
        "first_name": "NICHOLAS",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglassville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.