NPIMap

Organization Active NPI

Emmaus Counseling Services LLC

  • Professional Counselor
  • Duncansville, PA
National Provider Identifier
1194233528
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009696 Issued in PA
Legal business name
EMMAUS COUNSELING SERVICES LLC
Practice address
117 Olde Farm Office Rd Ste 204
Duncansville, PA 16635
Phone
(814) 808-9538
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Tara Banks, LPCNPI 1497016935
Title
Op Therapist / Owner
Phone
(814) 808-9538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X PC009696 PA Primary

Addresses

Primary practice location

117 Olde Farm Office Rd Ste 204
Duncansville, PA 16635

Mailing address

815 Rosehill Dr
Altoona, PA 16602-6701

National Provider Directory

National Provider Directory

Locations

117 Olde Farm Office Rd
Ste 204
Duncansville, PA 16635
Phone (814) 808-9538

Practitioners & affiliated clinicians

Practitioners 1

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": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1194233528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 ROSEHILL DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OLDE FARM OFFICE RD STE 204",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "16635",
            "telephone_number": "814-808-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OP THERAPIST / OWNER",
        "authorized_official_telephone_number": "814-808-9538",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.