NPIMap

Organization Active NPI

Light of Life Counseling Services, LLC

  • Professional Counselor
  • Tobyhanna, PA
National Provider Identifier
1316316672
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008166 Issued in PA
Legal business name
LIGHT OF LIFE COUNSELING SERVICES, LLC
Practice address
1106 Cambell Way
Tobyhanna, PA 18466-8196
Phone
(570) 718-8255
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Crystal Vatza, LPCNPI 1235508599
Title
Founder and Ceo
Phone
(570) 718-8255

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X PC008166 PA Primary

Addresses

Primary practice location

1106 Cambell Way
Tobyhanna, PA 18466-8196

Mailing address

PO Box 556
Mount Pocono, PA 18344-0556
Phone (570) 718-8255

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": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1316316672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183440556",
            "telephone_number": "570-718-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CAMBELL WAY",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668196",
            "telephone_number": "570-718-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF LIFE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "VATZA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "570-718-8255",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.