NPIMap

Organization Active NPI

Child and Adolescent Counseling Services of Southeastern PA.

  • Professional Counselor
  • West Chester, PA
National Provider Identifier
1598088734
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2314 Issued in PA
Legal business name
CHILD AND ADOLESCENT COUNSELING SERVICES OF SOUTHEASTERN PA.
Practice address
220 W Gay St
West Chester, PA 19380-2917
Phone
(610) 764-8655
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Ms. Pamela Jane Van Der Laan, MHS, CAC, CCJS
Title
Counselor
Phone
(484) 769-9109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2314 PA Primary

Addresses

Primary practice location

220 W Gay St
West Chester, PA 19380-2917

Mailing address

220 W Gay St
West Chester, PA 19380-2917
Phone (610) 764-8655

National Provider Directory

National Provider Directory

Locations

220 W Gay St
West Chester, PA 19380
Phone (484) 516-8142

Practitioners & affiliated clinicians

Practitioners 2

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": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1598088734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GAY ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802917",
            "telephone_number": "610-764-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W GAY ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802917",
            "telephone_number": "610-764-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT COUNSELING SERVICES OF SOUTHEASTERN PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "VAN DER LAAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "484-769-9109",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHS, CAC, CCJS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "2314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

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