Individual provider Active NPI

Athena Said, LPC

  • Professional Counselor
  • Stroudsburg, PA
National Provider Identifier
1265802292
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008230 Issued in PA
Practice address
105 Terrace Dr Ste 102
Stroudsburg, PA 18360-7510
Phone
(570) 620-4311
Fax
(570) 620-4332
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008230 PA Primary

Addresses

Primary practice location

105 Terrace Dr Ste 102
Stroudsburg, PA 18360-7510

Mailing address

PO Box 288
Stroudsburg, PA 18360-0288
Phone (570) 620-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC008230PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pocono Counseling Associates PC Professional CurrentSince Feb 16, 2020 Accepting new patients

Locations

105 Terrace Dr
Ste 102
Stroudsburg, PA 18360
Phone (570) 620-4311

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1265802292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183600288",
            "telephone_number": "570-620-4311",
            "fax_number": "570-620-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TERRACE DR STE 102",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607510",
            "telephone_number": "570-620-4311",
            "fax_number": "570-620-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAID",
        "first_name": "ATHENA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.