Professional Counseling and Consulting Services Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013913 Issued in PA

Legal business name

PROFESSIONAL COUNSELING AND CONSULTING SERVICES INC

Practice address

11147 State Hwy 18
Suite 5
Conneaut Lake, PA 16316-3603

Phone

(814) 382-8798

Fax

(814) 382-6684

NPI assigned

Apr 9, 2009

Last updated

Jun 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Chrissy Marie Petro, LCSW

Title

Counselor

Phone

(814) 382-8798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1205079001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11147 STATE HWY 18",
            "address_2": "SUITE 5",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163163603",
            "telephone_number": "814-382-8798",
            "fax_number": "814-382-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11147 STATE HWY 18",
            "address_2": "SUITE 5",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163163603",
            "telephone_number": "814-382-8798",
            "fax_number": "814-382-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING AND CONSULTING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "814-382-8798",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Leonard, P.T., D.P.T.
• Kimberly Nicole Litwin, PHARMD
• Candyce A. Lucian, D.O.
• Kaelyn R Mitchell, CRNP
• Trish Lynn Mook, LCSW
• Rising Phoenix Mental Wellness, PLLC
• Robert a Bazylak, M.D.
• Cammie Sands, CCC-SLP
• Aubrey Linn Saunier
• Andrew Joseph Schlosser, DPT

• Clinical Social Worker in Conneaut Lake, PA
• Providers in Conneaut Lake, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.