Opal & Willow Counseling & Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OPAL & WILLOW COUNSELING & WELLNESS

Practice address

3248 Jonagold Dr
Harrisburg, PA 17110-9119

Phone

(717) 350-0123

NPI assigned

Jan 30, 2024

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Lynn Verchimak, LPCNPI 1003590258

Title

Owner/Therapist

Phone

(717) 350-0123

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Denise Lynn Verchimak, MA, CRC, LPC

  • Professional Counselor
  • Harrisburg, PA
  • NPI 1003590258
  Authorized official Same address or phone

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1376305789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 JONAGOLD DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109119",
            "telephone_number": "717-350-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 JONAGOLD DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109119",
            "telephone_number": "717-350-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL & WILLOW COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "VERCHIMAK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "717-350-0123",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.