Active NPI
Nicholas G Demaria
- Mental Health Counselor
- Douglassville, PA
National Provider Identifier
1164072252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.