2411 York Health and Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

2411 YORK HEALTH AND WELLNESS LLC

Practice address

133 Heather Rd Ste 206
Bala Cynwyd, PA 19004-3009

Phone

(267) 702-4537

Fax

(888) 518-1609

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Katrina Pinkney, PHD., LPC, CCMHCNPI 1366833139

Title

Owner/Ceo

Phone

(267) 702-4537

Specialties & licenses 2

Addresses

Other names 1

• 2411 York Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina Pinkney, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1366833139

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1326878992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 DITMAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191352715",
            "telephone_number": "267-702-4537",
            "fax_number": "888-518-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HEATHER RD STE 206",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043009",
            "telephone_number": "267-702-4537",
            "fax_number": "888-518-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2411 YORK HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "PINKNEY",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "267-702-4537",
        "authorized_official_credential": "PHD., LPC, CCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2411 York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Bala Cynwyd, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.