Individual provider Active NPI

Marsha G Vosburgh Austin, MA, CACD, LPC

  • Counselor
  • Bethlehem, PA
National Provider Identifier
1205092657
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC004551 Issued in PA
Practice address
2045 Westgate Drive
Ste 301
Bethlehem, PA 18017
Phone
(610) 419-3101
Fax
(610) 419-3309
NPI assigned
Aug 5, 2008
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC004551 PA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X PC004551 PA
Mental Health Counselor 101YM0800X PC004551 PA
Pastoral Counselor 101YP1600X PC004551 PA
Professional Counselor 101YP2500X PC004551 PA

Addresses

Primary practice location

2045 Westgate Drive
Ste 301
Bethlehem, PA 18017

Mailing address

2045 Westgate Drive
Ste 301
Bethlehem, PA 18017
Phone (610) 419-3101

Other identifiers 1

IdentifierTypeStateIssuer
PC004551OtherPAPROFESSIONAL LICENSE

Other names 1

  • Marsha G Vosburgh Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC004551PAMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1205092657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DRIVE",
            "address_2": "STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "610-419-3101",
            "fax_number": "610-419-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DRIVE",
            "address_2": "STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "610-419-3101",
            "fax_number": "610-419-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSBURGH AUSTIN",
        "first_name": "MARSHA",
        "middle_name": "G",
        "credential": "MA, CACD, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC004551",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC004551",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004551",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "PA",
            "license": "PC004551",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PC004551",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "VOSBURGH",
            "middle_name": "G",
            "credential": "MA, CACD, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.