Domenic John Carnuccio, M.A., N.C.C., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004241 Issued in PA

Practice address

440 E Marshall St Ste 100
East Marshall Street Medical Campus
West Chester, PA 19380-5414

Phone

(610) 431-2044

Fax

(610) 431-2045

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carnuccio Counseling LLC

  • Professional Counselor
  • West Chester, PA
  • NPI 1861542995
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255481735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 TASHA LN",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204260",
            "telephone_number": "610-466-9693",
            "fax_number": "610-431-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E MARSHALL ST STE 100",
            "address_2": "EAST MARSHALL STREET MEDICAL CAMPUS",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805414",
            "telephone_number": "610-431-2044",
            "fax_number": "610-431-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNUCCIO",
        "first_name": "DOMENIC",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.A., N.C.C., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carelink Community Support Services of Pennsylvania Inc
• Melissa Ann Cargan-Bodnar, CRNP
• Lydia Carmer
• Beth Day Carney, CRNP
• Carnuccio Counseling LLC
• Chase Carpenter
• Rebecca Jane Porter Carr, MS OTR/L
• Susan A. Carr, PSY.D.
• Craig Grason Carroll, D.O
• Jacqueline Carroll

• Professional Counselor in West Chester, PA
• Providers in West Chester, PA by specialty
• Professional Counselor in Pennsylvania

• 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.

Verify at the official NPI Registry.