NPIMap

Organization Active NPI

Wings of Change Counseling, LLC

  • Community/Behavioral Health Agency
  • Coopersburg, PA
National Provider Identifier
1619294055
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PC004168 Issued in PA
Legal business name
WINGS OF CHANGE COUNSELING, LLC
Practice address
101 S Main St
Suite 202, Donovan's Corner
Coopersburg, PA 18036-1912
Phone
(484) 863-1010
Fax
(484) 863-1011
NPI assigned
Apr 26, 2010
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Carol A. Thomas, PH.D., LPCNPI 1790882363
Title
Owner
Phone
(412) 445-7480

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PC004168 PA Primary

Addresses

Primary practice location

101 S Main St
Suite 202, Donovan's Corner
Coopersburg, PA 18036-1912

Mailing address

101 S Main St
Suite 202, Donovan's Corner
Coopersburg, PA 18036-1912
Phone (484) 863-1010

Other identifiers 1

IdentifierTypeStateIssuer
1245343300OtherPAPRACTITIONER

National Provider Directory

National Provider Directory

Locations

101 S Main St
Ste 202
Coopersburg, PA 18036
Phone (484) 863-1010

2 N Main St
Coopersburg, PA 18036
Phone (484) 863-1010

2 N Main St
Ste 9
Coopersburg, PA 18036

21 N Main St
Ste 9
Coopersburg, PA 18036
Phone (267) 214-9678

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1619294055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "address_2": "SUITE 202, DONOVAN'S CORNER",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361912",
            "telephone_number": "484-863-1010",
            "fax_number": "484-863-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "address_2": "SUITE 202, DONOVAN'S CORNER",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361912",
            "telephone_number": "484-863-1010",
            "fax_number": "484-863-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-445-7480",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC004168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTITIONER",
            "identifier": "1245343300",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.