NPIMap

Organization Active NPI

Comprehensive Care Counseling LLC

  • Professional Counselor
  • Harrisburg, PA
National Provider Identifier
1487191326
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-001656 Issued in PA
Legal business name
COMPREHENSIVE CARE COUNSELING LLC
Practice address
2215 Forest Hills Dr Ste 36
Harrisburg, PA 17112-1099
Phone
(717) 775-8078
NPI assigned
Jan 31, 2017
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Denise Hackman, LPCNPI 1184934556
Title
Counselor
Phone
(717) 775-8078

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
Professional Counselor 101YP2500X PC-001656 PA Primary

Addresses

Primary practice location

2215 Forest Hills Dr Ste 36
Harrisburg, PA 17112-1099

Mailing address

2215 Forest Hills Dr Ste 36
Harrisburg, PA 17112-1099
Phone (717) 775-8078

Other identifiers 1

IdentifierTypeStateIssuer
1487191326MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cccoffice@hushmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206000470 PA Part B Supplier - Clinic/Group Practice 1557628260 Receives reassigned benefits from 5 practitioners
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

2215 Forest Hills Dr
Ste 36
Harrisburg, PA 17112
Phone (717) 564-6430

Practitioners & affiliated clinicians

Practitioners 7

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": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1487191326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 FOREST HILLS DR STE 36",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121099",
            "telephone_number": "717-775-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FOREST HILLS DR STE 36",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121099",
            "telephone_number": "717-775-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "HACKMAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "717-775-8078",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC-001656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487191326",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cccoffice@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2215 Forest Hills Dr Ste 36",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171121099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.