Organization Active NPI

Avante Center for Counseling and Psychological Services, Inc.

  • Community/Behavioral Health Agency
  • Meadville, PA
National Provider Identifier
1215322854
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PS016291 Issued in PA
Legal business name
AVANTE CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES, INC.
Practice address
667 N Main St
Meadville, PA 16335-1907
Phone
(814) 337-2037
Fax
(814) 337-2060
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Kimberley S. Coddington, PH.D.NPI 1467423756
Title
Psychologist
Phone
(814) 337-2037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PS016291 PA Primary

Addresses

Primary practice location

667 N Main St
Meadville, PA 16335-1907

Mailing address

667 N Main St
Meadville, PA 16335-1907
Phone (814) 337-2037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160413000305 PA Part B Supplier - Clinic/Group Practice 6800194572 Receives reassigned benefits from 2 practitioners
Practice locations: Meadville, PA
O20240328000688 VA Part B Supplier - Clinic/Group Practice 6800194572 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

310 Chestnut St
Ste 230
Meadville, PA 16335
Phone (814) 337-2037

1000 Regent University Dr
#161
Virginia Beach, VA 23464
Phone (757) 226-4296

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1215322854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 N MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351907",
            "telephone_number": "814-337-2037",
            "fax_number": "814-337-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 N MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351907",
            "telephone_number": "814-337-2037",
            "fax_number": "814-337-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTE CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "CODDINGTON",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-337-2037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS016291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.