Capital Area Counseling Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CW014019 Issued in PA

Legal business name

CAPITAL AREA COUNSELING SERVICES, INC.

Practice address

1013 Mumma Rd
Suite 302
Wormleysburg, PA 17043-1144

Phone

(717) 975-1808

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Patton Gordon, LCSWNPI 1629076286

Title

President/Therapist

Phone

(717) 975-1808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Patton Gordon, LCSW

  • Clinical Social Worker
  • Wormleysburg, PA
  • NPI 1629076286
  Authorized official Same address or phone

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1407047335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MUMMA RD",
            "address_2": "SUITE 302",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431144",
            "telephone_number": "717-975-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MUMMA RD",
            "address_2": "SUITE 302",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431144",
            "telephone_number": "717-975-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "PATTON",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "717-975-1808",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW014019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Chamberlain
• Agnes Pagadora Chang
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• Community/Behavioral Health Agency in Wormleysburg, PA
• Providers in Wormleysburg, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.