NPIMap

Organization Active NPI

Newtown Psychotherapy Center

  • Mental Health Counselor
  • Langhorne, PA
National Provider Identifier
1255754768
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006681 Issued in PA
Legal business name
NEWTOWN PSYCHOTHERAPY CENTER
Practice address
1717 Newtown-Langhorne Road
One Summit Square, Suite 304
Langhorne, PA 19047-1091
Phone
(215) 882-4445
Fax
(267) 759-6443
NPI assigned
Feb 4, 2014
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Mary Ellen Cook, LPCNPI 1962633487
Title
Owner/Clinical Dir
Phone
(215) 882-4445

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
Mental Health Counselor 101YM0800X PC006681 PA Primary

Addresses

Primary practice location

1717 Newtown-Langhorne Road
One Summit Square, Suite 304
Langhorne, PA 19047-1091

Mailing address

1717 Newtown-Langhorne Road
One Summit Square, Suite 304
Langhorne, PA 19047-1091
Phone (215) 882-4445

Other identifiers 1

IdentifierTypeStateIssuer
1962633487OtherPAINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026003001 PA Part B Supplier - Clinic/Group Practice 5294001814 Receives reassigned benefits from 13 practitioners
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Locations

1 Summit Square Ctr
Ste 304
Langhorne, PA 19047
Phone (215) 882-4445

1717 Langhorne Newtown Rd
Ste 304
Langhorne, PA 19047
Phone (215) 882-4445

115 Pheasant Run
Ste 215
Newtown, PA 18940
Phone (215) 550-6109

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1255754768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NEWTOWN-LANGHORNE ROAD",
            "address_2": "ONE SUMMIT SQUARE, SUITE 304",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471091",
            "telephone_number": "215-882-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NEWTOWN-LANGHORNE ROAD",
            "address_2": "ONE SUMMIT SQUARE, SUITE 304",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471091",
            "telephone_number": "215-882-4445",
            "fax_number": "267-759-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTOWN PSYCHOTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIR",
        "authorized_official_telephone_number": "215-882-4445",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962633487",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.