Active NPI
Connellsville Counseling & Psychological Services
- Counselor
- Connellsville, PA
National Provider Identifier
1376661876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- CONNELLSVILLE COUNSELING & PSYCHOLOGICAL SERVICES
- Practice address
- 416 South Pittsburgh St
Connellsville, PA 15425 - Phone
- (724) 626-8420
- Fax
- (724) 628-0898
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxane Monjellullo, LCSW
- Title
- Co Owner
- Phone
- (724) 626-8420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
416 South Pittsburgh St
Connellsville, PA 15425
Mailing address
416 South Pittsburgh St
Connellsville, PA 15425
Phone (724) 626-8420
National Provider Directory
National Provider Directory- Tax ID family
- Connellsville Counseling Psychological Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Connellsville, PA
- NPI 1275844789
Locations
416 S Pittsburgh St
Connellsville, PA 15425
Phone (724) 626-8420
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Connellsville, PA
- NPI 1508521097
-
- Clinical Social Worker
- Connellsville, PA
- NPI 1285690891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1376661876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 SOUTH PITTSBURGH ST",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "15425",
"telephone_number": "724-626-8420",
"fax_number": "724-628-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 SOUTH PITTSBURGH ST",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "15425",
"telephone_number": "724-626-8420",
"fax_number": "724-628-0898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNELLSVILLE COUNSELING & PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MONJELLULLO",
"authorized_official_first_name": "ROXANE",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "724-626-8420",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Connellsville, PA
- Amanda Collins
- Conn Family Medicine, P.C.
- Richard A Conn, MD
- Connellsville Area School District
- Connellsville Area Senior Tigers, Inc
- Connellsville Counseling & Psychological Services, LLC
- Connellsville Counseling Center
- Connellsville Counseling Center, Inc
- Connellsville Counseling Center, Inc.
- Nadene B Copeland, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.