Middle Way Professional Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIDDLE WAY PROFESSIONAL COUNSELING, LLC

Practice address

31 Bishop Hollow Rd
Newtown Square, PA 19073-3211

Phone

(484) 604-0406

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Michael ZimmermanNPI 1477602563

Title

Managing Member

Phone

(484) 604-0406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Jason Michael Zimmerman, LPC

  • Professional Counselor
  • Newtown Square, PA
  • NPI 1477602563
  Medicare reassignment NPD Authorized official
• Hava Bergdoll, LCSW

  • Clinical Social Worker
  • Bryn Mawr, PA
  • NPI 1255433884
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1285495713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BISHOP HOLLOW RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733211",
            "telephone_number": "484-604-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BISHOP HOLLOW RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733211",
            "telephone_number": "484-604-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE WAY PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "484-604-0406",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Elizabeth McMillen, MS,LAT,ATC
• Catherine McNally, LCSW
• Devon Blake Merkle, DO
• Meyer Pulmonology LLC
• Michael S Ayes, DDS and Associates Pennsylvania II, PC
• Lori Ann Mileto
• Cecile B Miller, CRNP
• Jennifer Ann Miller, PTA
• Manley Mincer, D.D.S.
• Michele Misher-Harris, D.O.

• Professional Counselor in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.