Active NPI
David John Durso
- Professional Counselor
- North Wales, PA
National Provider Identifier
1306488317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC014502
- Practice address
- 309 N Sumneytown Pike
North Wales, PA 19454-2505 - Phone
- (215) 767-7096
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | PC014502 | PA | Primary |
Addresses
Primary practice location
309 N Sumneytown Pike
North Wales, PA 19454-2505
Mailing address
535 Spruce St Apt H4
Royersford, PA 19468-2035
Phone (443) 909-8885
Other practice location 1
645 Penn St Fl 2
Reading, PA 19601-3543
Phone (610) 373-4281 ext. 2307
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC014502 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berks Counseling Center, Inc. | Current | Accepting new patients | |
| Berks Counseling Center, Inc. | Mental Health | Current | Accepting new patients |
Locations
645 Penn St
Fl 2
Reading, PA 19601
Phone 6103734281 ext. 247
Organizations & group practices 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Reading, PA
- NPI 1881620250
Mental Health
-
- Community Health Clinic/Center
- Reading, PA
- NPI 1932629342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1306488317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 SPRUCE ST APT H4",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194682035",
"telephone_number": "443-909-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 N SUMNEYTOWN PIKE",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194542505",
"telephone_number": "215-767-7096"
}
],
"practiceLocations": [
{
"address_1": "645 Penn St Fl 2",
"address_purpose": "LOCATION",
"city": "Reading",
"state": "PA",
"postal_code": "196013543",
"country_code": "US",
"telephone_number": "610-373-4281 x2307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURSO",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-10",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC014502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.