Connellsville Counseling Center, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CONNELLSVILLE COUNSELING CENTER, INC

Practice address

110 S Arch St
Connellsville, PA 15425-3515

Phone

(724) 626-9941

Fax

(724) 626-2785

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Carole G Stern, MS, RN-BC

Title

Ceo

Phone

(724) 626-9941

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• The Stern Center for Developmental and Behavioral Health, Inc. Doing business as

Tax ID family

Connellsville Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Connellsville Counseling Center, Inc.

  • Psychiatry Physician
  • Connellsville, PA
  • NPI 1609941236
  NPD tax ID

Locations

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1386916435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S ARCH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253515",
            "telephone_number": "724-626-9941",
            "fax_number": "724-626-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ARCH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253515",
            "telephone_number": "724-626-9941",
            "fax_number": "724-626-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNELLSVILLE COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-626-9941",
        "authorized_official_credential": "MS, RN-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001526018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Stern Center for Developmental and Behavioral Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connellsville Area School District
• Connellsville Area Senior Tigers, Inc
• Connellsville Counseling & Psychological Services
• Connellsville Counseling & Psychological Services, LLC
• Connellsville Counseling Center
• Connellsville Counseling Center, Inc.
• Nadene B Copeland, NP-C
• Matthew T Cramer, DPT
• Lorri Jeanne Cunningham-Kaylor, LPC, NCC
• Jay Eric Cunningham, D.P.M.

• Psychologist in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.