Individual provider Active NPI

David John Durso

  • Professional Counselor
  • North Wales, PA
National Provider Identifier
1306488317
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014502 Issued in PA
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

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PC014502PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Counseling Center, Inc. CurrentSince Jul 24, 2022 Accepting new patients
Berks Counseling Center, Inc. Mental Health CurrentSince Jul 10, 2023 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.

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.

Verify at the official NPI Registry.