Organization Active NPI

Media Child and Family Associates LLC

  • Marriage & Family Therapist
  • Media, PA
National Provider Identifier
1316312259
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000595 Issued in PA
Legal business name
MEDIA CHILD AND FAMILY ASSOCIATES LLC
Practice address
42 E Front St
Media, PA 19063-2912
Phone
(610) 348-6439
Fax
(610) 892-2774
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Justin Corrocher, LPC, LMFT
Title
Owner
Phone
(610) 348-6439

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004837 PA
Marriage & Family Therapist 106H00000X MF000595 PA Primary

Addresses

Primary practice location

42 E Front St
Media, PA 19063-2912

Mailing address

42 E Front St
Media, PA 19063-2912
Phone (610) 348-6439

National Provider Directory

National Provider Directory

Locations

42 E Front St
Ste 3
Media, PA 19063
Phone (610) 202-9427

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1316312259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632912",
            "telephone_number": "610-348-6439",
            "fax_number": "610-892-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632912",
            "telephone_number": "610-348-6439",
            "fax_number": "610-892-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIA CHILD AND FAMILY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "CORROCHER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-348-6439",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004837",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.