Active NPI
Counseling and Rehabilitation, Inc.
- Rehabilitation Practitioner
- Wyomissing, PA
National Provider Identifier
1235345786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- COUNSELING AND REHABILITATION, INC.
- Practice address
- 1150 Berkshire Boulevard
Suite 245
Wyomissing, PA 19610-2694 - Phone
- (610) 376-3380
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sally Kneipp, PH.D.
- Title
- Vice President and Director
- Phone
- (610) 376-3380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
1150 Berkshire Boulevard
Suite 245
Wyomissing, PA 19610-2694
Mailing address
1150 Berkshire Boulevard
Suite 245
Wyomissing, PA 19610-2694
Phone (610) 376-3380
Other names 1
- Community Skills Program
National Provider Directory
National Provider DirectoryLocations
1150 Berkshire Blvd
Ste 245
Wyomissing, PA 19610
Phone (610) 376-3380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235345786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 BERKSHIRE BOULEVARD",
"address_2": "SUITE 245",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102694",
"telephone_number": "610-376-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 BERKSHIRE BOULEVARD",
"address_2": "SUITE 245",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102694",
"telephone_number": "610-376-3380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING AND REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KNEIPP",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "VICE PRESIDENT AND DIRECTOR",
"authorized_official_telephone_number": "610-376-3380",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Skills Program",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.