The Bodhana Group Incorporated

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE BODHANA GROUP INCORPORATED

Practice address

237 N Prince St
Suite 301
Lancaster, PA 17603-4062

Phone

(717) 224-1273

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jack Edward Berkenstock Jr., MHS

Title

Executive Director

Phone

(717) 615-5803

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1508218801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 N STATE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222102",
            "telephone_number": "717-615-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N PRINCE ST",
            "address_2": "SUITE 301",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034062",
            "telephone_number": "717-224-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODHANA GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "BERKENSTOCK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-615-5803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.