Berks Hypnosis and Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005641 Issued in PA

Legal business name

BERKS HYPNOSIS AND COUNSELING SERVICES LLC

Practice address

5 S Centre Ave
Suite A5
Leesport, PA 19533-8653

Phone

(610) 916-3594

Fax

(610) 926-9179

NPI assigned

Mar 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Adam Arena, PSY.D., J.D., M.B.A.NPI 1922308162

Title

President/Owner

Phone

(215) 939-8429

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Adam Arena, PSY.D., M.S., M.ED.

  • Professional Counselor
  • Leesport, PA
  • NPI 1922308162
  NPD (past) Authorized official
• Lori Konitsky Chaplick, M.A.

  • Mental Health Counselor
  • Leesport, PA
  • NPI 1851665715
  NPD (past)

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1215203146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 ROBBY DR",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195339434",
            "telephone_number": "610-916-3594",
            "fax_number": "610-926-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S CENTRE AVE",
            "address_2": "SUITE A5",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338653",
            "telephone_number": "610-916-3594",
            "fax_number": "610-926-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS HYPNOSIS AND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "215-939-8429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., J.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore Santo Azzolina
• Melissa May Baer, LPN
• John Albert Bakerofskie, M.A.
• Ashley Barber
• Victoria Beane
• Matthew John Blimline, ATC
• Lisa J Bodor
• Courtney Michelle Bottorf, OTR/L
• David W Bowers, MD
• Elizabeth Brackbill, MD

• Professional Counselor in Leesport, PA
• Providers in Leesport, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.