NPIMap

Organization Active NPI

Jeanette Egan

  • Professional Counselor
  • Emmaus, PA
National Provider Identifier
1487986154
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000119 Issued in PA
Legal business name
JEANETTE EGAN
Practice address
860 Broad St Ste 106
Emmaus, PA 18049-3630
Phone
(610) 965-5790
Fax
(610) 965-5790
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Jeanette Donna Egan, MS, LPC, CAC-DNPI 1508961699
Title
Director
Phone
(610) 965-3635

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X PC000119 PA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X PC000119 PA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC000119 PA Primary

Addresses

Primary practice location

860 Broad St Ste 106
Emmaus, PA 18049-3630

Mailing address

860 Broad St Ste 106
Emmaus, PA 18049-3630
Phone (610) 965-5790

Other names 1

  • Jeanette Egan 'A MH & D& A Outpatient Treatment Facility' Doing business as

National Provider Directory

National Provider Directory

Locations

860 Broad St
Ste 106
Emmaus, PA 18049
Phone (610) 965-3635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1487986154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BROAD ST STE 106",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180493630",
            "telephone_number": "610-965-5790",
            "fax_number": "610-965-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BROAD ST STE 106",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180493630",
            "telephone_number": "610-965-5790",
            "fax_number": "610-965-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE EGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-965-3635",
        "authorized_official_credential": "MS, LPC, CAC-D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC000119",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC000119",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeanette Egan 'A MH & D& A Outpatient Treatment Facility'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.