Shaping Successful Futures Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHAPING SUCCESSFUL FUTURES COUNSELING

Practice address

2820 W 21St St Ste 201
Erie, PA 16506-2983

Phone

(814) 923-3110

Fax

(813) 212-0688

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Kenneth Kohl, LPCNPI 1639782212

Title

Provider

Phone

(814) 923-3110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew Kenneth Kohl, MA, LPC

  • Professional Counselor
  • Erie, PA
  • NPI 1639782212
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1235813007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W 21ST ST STE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062983",
            "telephone_number": "814-923-3110",
            "fax_number": "813-212-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W 21ST ST STE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062983",
            "telephone_number": "814-923-3110",
            "fax_number": "813-212-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING SUCCESSFUL FUTURES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "KOHL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "814-923-3110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Helen Shallenberger, LPN
• Shamoy Real Estate, LLC
• Bridget Shanahan
• Joshua Shanahan
• Lindsay Anne Shankman, DO
• Jeremy R Shapiro, DO
• David E Shapter, D.D.S.
• Amit Sharma, MD
• Rubal Sharma, M.D.
• Sanyam Sharma, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.