Organization Active NPI

The Counseling and Wellness Center of Wyomissing

  • Adolescent and Children Mental Health Clinic/Center
  • Wyomissing, PA
National Provider Identifier
1396399697
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THE COUNSELING AND WELLNESS CENTER OF WYOMISSING
Practice address
560 Van Reed Rd Ste 206
Wyomissing, PA 19610-1799
Phone
(610) 570-1133
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Elon Megan Gruber, LMFTNPI 1679939375
Title
Owner of the Practice/Practitioner
Phone
(610) 570-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

560 Van Reed Rd Ste 206
Wyomissing, PA 19610-1799

Mailing address

560 Van Reed Rd Ste 206
Wyomissing, PA 19610-1799
Phone (610) 570-1133

National Provider Directory

National Provider Directory
Tax ID family
The Counseling and Wellness Center of Exton2 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.

Locations

560 Van Reed Rd
Ste 206
Wyomissing, PA 19610
Phone (610) 570-1133

Practitioners & affiliated clinicians

Practitioners 2

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": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1396399697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 VAN REED RD STE 206",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101799",
            "telephone_number": "610-570-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 VAN REED RD STE 206",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101799",
            "telephone_number": "610-570-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELING AND WELLNESS CENTER OF WYOMISSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "ELON",
        "authorized_official_middle_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER OF THE PRACTICE/PRACTITIONER",
        "authorized_official_telephone_number": "610-570-1133",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.