Organization Active NPI

Healingrace Counseling & Wellness PLLC

  • Professional Counselor
  • Stroudsburg, PA
National Provider Identifier
1609456623
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEALINGRACE COUNSELING & WELLNESS PLLC
Practice address
1002 Primrose Ave
Stroudsburg, PA 18360-9057
Phone
(570) 801-6947
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Josefina Villamar, LPC
Title
Manager
Phone
(570) 801-6947

Specialties & licenses 1

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

Addresses

Primary practice location

1002 Primrose Ave
Stroudsburg, PA 18360-9057

Mailing address

1002 Primrose Ave
Stroudsburg, PA 18360-9057
Phone (570) 801-6947

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1609456623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 PRIMROSE AVE",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609057",
            "telephone_number": "570-801-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PRIMROSE AVE",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609057",
            "telephone_number": "570-801-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALINGRACE COUNSELING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "VILLAMAR",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "570-801-6947",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.