NPIMap

Organization Active NPI

William R. Ainsworth Professional Counseling Services LLC

  • Professional Counselor
  • Slippery Rock, PA
National Provider Identifier
1306019781
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001270 Issued in PA
Legal business name
WILLIAM R. AINSWORTH PROFESSIONAL COUNSELING SERVICES LLC
Practice address
164 S Main St
Slippery Rock, PA 16057-1245
Phone
(724) 794-1404
Fax
(724) 794-1404
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
William R. Ainsworth, L.P.C.NPI 1629047741
Title
President
Phone
(724) 794-1404

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 2436 PA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X PC001270 PA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC001270 PA Primary

Addresses

Primary practice location

164 S Main St
Slippery Rock, PA 16057-1245

Mailing address

228 Franklin St
Slippery Rock, PA 16057-1103
Phone (724) 794-1404

Other identifiers 2

IdentifierTypeStateIssuer
1024026530002MedicaidPA
1009378620001MedicaidPA

National Provider Directory

National Provider Directory

Locations

164 S Main St
Slippery Rock, PA 16057
Phone (724) 794-1404

Practitioners & affiliated clinicians

Practitioners 1

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1306019781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 FRANKLIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571103",
            "telephone_number": "724-794-1404",
            "fax_number": "724-794-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 S MAIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571245",
            "telephone_number": "724-794-1404",
            "fax_number": "724-794-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. AINSWORTH PROFESSIONAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-794-1404",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "2436",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC001270",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024026530002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009378620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slippery Rock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.