Active NPI
Beech Street Program, LLC
- Professional Counselor
- Carlisle, PA
National Provider Identifier
1457582330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002597
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.