Grace Therapeutic Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GRACE THERAPEUTIC SERVICES LLC

Practice address

1111 Street Rd Ste 101
Southampton, PA 18966-4250

Phone

(215) 740-9875

NPI assigned

Feb 8, 2019

Organization subpart

No

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

Authorized official

Name

Joseph R Donnelly, MS, LPCNPI 1992146278

Title

Ceo

Phone

(215) 740-9875

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Donnelly

  • Professional Counselor
  • Cherry Hill, NJ
  • NPI 1992146278

  PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1174088520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 PRESTON AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903027",
            "telephone_number": "215-740-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 STREET RD STE 101",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664250",
            "telephone_number": "215-740-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-740-9875",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott M Goldstein, MD
• Tina Marie Gonzales
• Lucy Rose Goodman, PSY.D.
• Jeffrey A Gordon, M.D.
• Danielle Nicole Gormley
• Graham Chiropractic Inc.
• Kristin Granath
• Elizabeth Grecco, LCSW
• Kaitlyn Green
• Linda Greenberg

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.