NPIMap

Organization Active NPI

Child and Adolescent Counseling Services of S.E. PA, LLC

  • Marriage & Family Therapist
  • West Chester, PA
National Provider Identifier
1174847263
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
PC003813 Issued in PA
Legal business name
CHILD AND ADOLESCENT COUNSELING SERVICES OF S.E. PA, LLC
Practice address
220 W Gay St FL 3
West Chester, PA 19380-2917
Phone
(610) 764-8655
Fax
(610) 692-2011
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Mrs. Trinh (Angela) Nguyen-Smallwood, M.S., LPC
Title
Therapist/Owner
Phone
(610) 764-8655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X PC003813 PA Primary

Addresses

Primary practice location

220 W Gay St FL 3
West Chester, PA 19380-2917

Mailing address

220 W Gay St FL 3
West Chester, PA 19380-2917
Phone (610) 764-8655

National Provider Directory

National Provider Directory

Locations

220 W Gay St
Fl 3
West Chester, PA 19380
Phone (610) 674-8655

Practitioners & affiliated clinicians

Practitioners 3

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": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1174847263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GAY ST FL 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802917",
            "telephone_number": "610-764-8655",
            "fax_number": "610-692-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W GAY ST FL 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802917",
            "telephone_number": "610-764-8655",
            "fax_number": "610-692-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT COUNSELING SERVICES OF S.E. PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-SMALLWOOD",
        "authorized_official_first_name": "TRINH (ANGELA)",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "610-764-8655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., LPC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "PC003813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.