Virginia Herzog

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC007967 Issued in PA

Practice address

2132 S 12TH St
Allentown, PA 18103-4810

Phone

(484) 350-3001

NPI assigned

Jan 7, 2015

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurodiverse Counseling Associates, LLC

  • Professional Counselor
  • Allentown, PA
  • NPI 1881369866
  NPD

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1205224755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BROOKSIDE RD # 122F",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069020",
            "telephone_number": "484-891-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 S 12TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034810",
            "telephone_number": "484-350-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Brookside Rd # 122F",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "18106",
            "country_code": "US",
            "telephone_number": "484-891-1258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renee Herron, LCSW
• Samuel James Hertig, PA
• Jonathan Hertz, MD
• Kali Hertzog, PAC
• Steven P Herzfeld
• Adam Hesney, M.D.
• Dalice A Hess, PSY.D
• Daniel Hess, PT
• Elizabeth D Hess, LCSW
• Stephanie Mae Hess, MD

• Mental Health Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.