Debbie N Goldberg LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC000024 Issued in PA

Legal business name

DEBBIE N GOLDBERG LLC

Practice address

27 Sandy LN Ste 190
Lewistown, PA 17044-1357

Phone

(717) 953-9571

Fax

(717) 953-9576

NPI assigned

Feb 21, 2011

Organization subpart

No

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

Authorized official

Name

Debbie N. Goldberg, ICAADC, LPC, LLC

Title

Member Manager

Phone

(717) 953-9571

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1386941789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CHERRY RIDGE RD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033309",
            "telephone_number": "717-953-9571",
            "fax_number": "717-953-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SANDY LN STE 190",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441357",
            "telephone_number": "717-953-9571",
            "fax_number": "717-953-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE N GOLDBERG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "717-953-9571",
        "authorized_official_credential": "ICAADC, LPC, LLC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11702063",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Datko, DO
• Elizabeth Catherine Daubert, DPT
• Brooke Davenport, PA-C
• David a Eichenlaub & Gary R Bodmer, Partners
• Patricia A Davis
• Deborah L Fiume, DMD
• Ismail O. Dedeoglu, M.D.
• Sandy Dejoie
• Melissa Delancey, LCSW
• Dennis M. Devita, M.D. P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.