Organization Active NPI

Telemental Health Network, LLC

  • Mental Health Counselor
  • Easton, PA
National Provider Identifier
1376912923
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TELEMENTAL HEALTH NETWORK, LLC
Practice address
650 S Greenwood Ave
Easton, PA 18045-9800
Phone
(484) 245-4455
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Mrs. Brittany Azzolina, LPC
Title
Owner
Phone
(484) 245-4455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X

Addresses

Primary practice location

650 S Greenwood Ave
Easton, PA 18045-9800

Mailing address

650 S Greenwood Ave
Easton, PA 18045-9800
Phone (484) 245-4455

Other names 1

  • Virtual School Counselor Network Doing business as

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": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1376912923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S GREENWOOD AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180459800",
            "telephone_number": "484-245-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S GREENWOOD AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180459800",
            "telephone_number": "484-245-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMENTAL HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "AZZOLINA",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-245-4455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtual School Counselor Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.