NPIMap

Organization Active NPI

Canopy Counseling Unlimited

  • Mental Health Counselor
  • Media, PA
National Provider Identifier
1285259259
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CANOPY COUNSELING UNLIMITED
Practice address
210 W Front St Ste 214
Media, PA 19063-3149
Phone
(610) 229-9029
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Carol M Koehler, LCSW, BSLNPI 1356682769
Title
Owner
Phone
(610) 229-9029

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

210 W Front St Ste 214
Media, PA 19063-3149

Mailing address

8 Stirling Way
Chadds Ford, PA 19317-9413
Phone (610) 812-6881

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1285259259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STIRLING WAY",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179413",
            "telephone_number": "610-812-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W FRONT ST STE 214",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633149",
            "telephone_number": "610-229-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY COUNSELING UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-229-9029",
        "authorized_official_credential": "LCSW, BSL"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 W Front St Ste 214",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190633149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.