Active NPI
Mandy Beth Dorfman, LPC
- Mental Health Counselor
- Southampton, PA
National Provider Identifier
1205904786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC002565
- Practice address
- 541 Street Rd
Southampton, PA 18966-3786 - Phone
- (215) 355-3400
- Fax
- (215) 364-2672
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC002565 | PA | Primary |
Addresses
Primary practice location
541 Street Rd
Southampton, PA 18966-3786
Mailing address
35 Yale Dr
Richboro, PA 18954-1253
Phone (215) 364-0672
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC002565 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205904786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 YALE DR",
"city": "RICHBORO",
"state": "PA",
"postal_code": "189541253",
"telephone_number": "215-364-0672",
"fax_number": "215-364-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 STREET RD",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663786",
"telephone_number": "215-355-3400",
"fax_number": "215-364-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "MANDY",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC002565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
- Laura Michelle Donaldson, DO
- Brynn M Donnelly, MS, OTR/L
- Nicole Donnelly, MPT
- Fred Larry Dorfman, PHD
- Jake Dorfman, DMD
- Dr Allan R Snyder
- Dr Kanner Chiropractic Care PC
- Dr. Bui, D.D.S. - Dental Home PLLC
- Dr. Edward S Kole DO PC (Kole Plastic Surgery Center)
- Dr. Marcianne Vira (Dr. Marci Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.