Julia Lynn Cuccaro-Green, LPC, BC-DMT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010668 Issued in PA

Practice address

1243 Gordon Rd
Jenkintown, PA 19046-3908

Phone

(908) 256-0892

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1255936845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 WELSH RD # 190",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902900",
            "telephone_number": "908-256-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 GORDON RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463908",
            "telephone_number": "908-256-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCARO-GREEN",
        "first_name": "JULIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "PA",
            "license": "BC-DMT-1222",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.