Counseling Wellness of Indiana County, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PC005869 Issued in PA

Legal business name

COUNSELING WELLNESS OF INDIANA COUNTY, LLC

Practice address

637 Philadelphia St
Indiana Theater Building, Suite 402
Indiana, PA 15701-3919

Phone

(724) 717-6481

Fax

(724) 717-6484

NPI assigned

Jun 23, 2016

Last updated

Mar 22, 2017By 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

Alexandra K Nagg, LPC, NCCNPI 1053604009

Title

Licensed Therapist

Phone

(724) 717-6481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Alexandra Kay Nagg, LPC, NCC

  • Counselor
  • Salina, PA
  • NPI 1053604009
  Medicare reassignment NPD Authorized official
• Scott Michael Kondash, M.A.

  • Counselor
  • Johnstown, PA
  • NPI 1104092162
  NPD (past)
• Debra Amanda Seger-Jadzak, M. ED.

  • Professional Counselor
  • Indiana, PA
  • NPI 1255328944
  NPD (past)
• Jennifer Marie Van Wieren, LPC

  • Professional Counselor
  • Indiana, PA
  • NPI 1871954818
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1427409226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 PHILADELPHIA ST",
            "address_2": "INDIANA THEATER BUILDING, SUITE 402",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013919",
            "telephone_number": "724-717-6481",
            "fax_number": "724-717-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 PHILADELPHIA ST",
            "address_2": "INDIANA THEATER BUILDING, SUITE 402",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013919",
            "telephone_number": "724-717-6481",
            "fax_number": "724-717-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING WELLNESS OF INDIANA COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "NAGG",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "724-717-6481",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC005869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lee Cooper
• Ryan M. Cope, B.A.
• Linette Elaine Copelli, C.R.N.A.
• Bernard L. Coppolo Jr., M.D.
• Cosm Rehab
• County of Indiana
• Kacey Beth Cowburn, SLP
• Ryan William Cowburn, O.D.
• Brittany Nicole Cowfer, PA-C
• Deverin Cowher, MT

• Community/Behavioral Health Agency in Indiana, PA
• Providers in Indiana, 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 Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.