Organization Active NPI

Beech Street Program, LLC

  • Professional Counselor
  • Carlisle, PA
National Provider Identifier
1457582330
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002597 Issued in PA
Legal business name
BEECH STREET PROGRAM, LLC
Practice address
20A Beech St
Carlisle, PA 17013-3105
Phone
(717) 245-2404
Fax
(717) 241-0500
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Ms. Cynthia Gail Sniscak, LPC
Title
President
Phone
(717) 245-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 002597 PA Primary

Addresses

Primary practice location

20A Beech St
Carlisle, PA 17013-3105

Mailing address

20A Beech St
Carlisle, PA 17013-3105
Phone (717) 245-2404

National Provider Directory

National Provider Directory

Locations

20 Beech St
Ste A
Carlisle, PA 17013
Phone (717) 245-2404

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1457582330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20A BEECH ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133105",
            "telephone_number": "717-245-2404",
            "fax_number": "717-241-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20A BEECH ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133105",
            "telephone_number": "717-245-2404",
            "fax_number": "717-241-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECH STREET PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "SNISCAK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-245-2404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "002597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.