Active NPI
Augustina Bimpong, LPC
- Professional Counselor
- Houston, PA
National Provider Identifier
1508521139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011447
- Practice address
- 710 Poplar CT
Houston, PA 15342-1264 - Phone
- (901) 389-7010
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC011447 | PA | |
| Professional Counselor | 101YP2500X | PC011447 | PA | Primary |
Addresses
Primary practice location
710 Poplar CT
Houston, PA 15342-1264
Mailing address
710 Poplar CT
Houston, PA 15342-1264
Phone (901) 389-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Chestnut St
Suite 403
Philadelphia, PA 19107-4304
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC011447 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
1015 Chestnut St
Ste 403
Philadelphia, PA 19107
Phone (215) 625-9770
5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279
Organizations & group practices 1
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": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1508521139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 POPLAR CT",
"city": "HOUSTON",
"state": "PA",
"postal_code": "153421264",
"telephone_number": "901-389-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 POPLAR CT",
"city": "HOUSTON",
"state": "PA",
"postal_code": "153421264",
"telephone_number": "901-389-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIMPONG",
"first_name": "AUGUSTINA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC011447",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.