Active NPI
Zachary David Rollison, LPC, NCC
- Counselor
- South Abington Township, PA
National Provider Identifier
1306511308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC012316
- Practice address
- 538 Venard Rd
South Abington Township, PA 18411-1250 - Phone
- (570) 585-9415
- NPI assigned
- Aug 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC012316 | PA | Primary |
Addresses
Primary practice location
538 Venard Rd
South Abington Township, PA 18411-1250
Mailing address
570 State Route 690
Spring Brook Township, PA 18444-6551
Phone (570) 561-6029
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 |
|---|---|---|---|
| PC012316 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1306511308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 STATE ROUTE 690",
"city": "SPRING BROOK TOWNSHIP",
"state": "PA",
"postal_code": "184446551",
"telephone_number": "570-561-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 VENARD RD",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184111250",
"telephone_number": "570-585-9415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLISON",
"first_name": "ZACHARY",
"middle_name": "DAVID",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC012316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Abington Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.