Fiat Lux Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FIAT LUX COUNSELING, LLC

Practice address

219 E Main St
Suite 201
Mechanicsburg, PA 17055-6541

Phone

(717) 458-8450

Fax

(717) 458-8451

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Carol Bellomo Mack, LCSW

Title

Therapist

Phone

(717) 458-8450

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1407149099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556541",
            "telephone_number": "717-458-8450",
            "fax_number": "717-458-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556541",
            "telephone_number": "717-458-8450",
            "fax_number": "717-458-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIAT LUX COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "BELLOMO",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "717-458-8450",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID, TYPE UNSPECIFIED",
            "identifier": "087739",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW, LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "CW013916",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.