Organization Active NPI

A M a Counseling Services

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1437440575
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016305 Issued in PA
Legal business name
A M A COUNSELING SERVICES
Practice address
3201 Highfield Dr Ste M
Bethlehem, PA 18020-1113
Phone
(610) 419-1536
Fax
(800) 556-4985
NPI assigned
Apr 25, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Mrs. Gloria Yvette Velazquez, LCSWNPI 1215118856
Title
Ceo
Phone
(610) 419-1536

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
Clinical Social Worker 1041C0700X CW016305 PA Primary

Addresses

Primary practice location

3201 Highfield Dr Ste M
Bethlehem, PA 18020-1113

Mailing address

3201 Highfield Dr Ste M
Bethlehem, PA 18020-1113
Phone (610) 419-1536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110629000163 PA Part B Supplier - Clinic/Group Practice 2567640287 Receives reassigned benefits from 1 practitioner
Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory

Locations

3201 Highfield Dr
Ste C
Bethlehem, PA 18020
Phone (484) 548-0636

3201 Highfield Dr
Ste M
Bethlehem, PA 18020
Phone (484) 896-0075

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1437440575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 HIGHFIELD DR STE M",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201113",
            "telephone_number": "610-419-1536",
            "fax_number": "800-556-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HIGHFIELD DR STE M",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201113",
            "telephone_number": "610-419-1536",
            "fax_number": "800-556-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A M A COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-419-1536",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.