Active NPI
Telemental Health Network, LLC
- Mental Health Counselor
- Easton, PA
National Provider Identifier
1376912923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| School Social Worker | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Easton, PA
- NPI 1710349709
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.