NPIMap

Organization Active NPI

Counseling on West Chocolate

  • Psychologist
  • Hershey, PA
National Provider Identifier
1316149834
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006420L Issued in PA
Legal business name
COUNSELING ON WEST CHOCOLATE
Practice address
614 Old W Chocolate Ave.
Hershey, PA 17033-1901
Phone
(717) 649-8022
Fax
(717) 533-8616
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Rebecca Marie Lafountain, ED.D.NPI 1952363020
Title
Psychologist
Phone
(717) 649-8022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS006420L PA Primary

Addresses

Primary practice location

614 Old W Chocolate Ave.
Hershey, PA 17033-1901

Mailing address

614 Old W Chocolate Ave
Hershey, PA 17033-1901
Phone (717) 649-8022

National Provider Directory

National Provider Directory

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1316149834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 OLD W CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331901",
            "telephone_number": "717-649-8022",
            "fax_number": "717-533-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 OLD W CHOCOLATE AVE.",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331901",
            "telephone_number": "717-649-8022",
            "fax_number": "717-533-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ON WEST CHOCOLATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "LAFOUNTAIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "717-649-8022",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006420L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.