All About You Counseling and Assessment

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC0005960 Issued in PA

Legal business name

ALL ABOUT YOU COUNSELING AND ASSESSMENT

Practice address

4402 Peach St
Erie, PA 16509-1358

Phone

(814) 920-4164

Fax

(814) 920-4187

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Helen Jackowski

Title

Office Manager

Phone

(814) 920-4164

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1265950513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091358",
            "telephone_number": "814-920-4164",
            "fax_number": "814-920-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091358",
            "telephone_number": "814-920-4164",
            "fax_number": "814-920-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT YOU COUNSELING AND ASSESSMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "JACKOWSKI",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-920-4164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC0005960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10295041980009",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Erie, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.