Individual provider Active NPI

Nils Juarez Palma, LPC

  • Professional Counselor
  • Beaver Falls, PA
National Provider Identifier
1487127080
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015953 Issued in PA
Practice address
1008 7TH Ave Ste 210
Beaver Falls, PA 15010-4558
Phone
(724) 843-0816
NPI assigned
Jan 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015953 PA Primary

Addresses

Primary practice location

1008 7TH Ave Ste 210
Beaver Falls, PA 15010-4558

Mailing address

30 Glade Run Dr
Zelienople, PA 16063-2200
Phone (724) 452-4453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC015953PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Family Counseling Center Corporation Professional PastSince Oct 14, 2020 Accepting new patients
Glade Run Lutheran Services PastSince Jul 31, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/odysseycounseling/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1487127080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GLADE RUN DR",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160632200",
            "telephone_number": "724-452-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 7TH AVE STE 210",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104558",
            "telephone_number": "724-843-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ PALMA",
        "first_name": "NILS",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.