NPIMap

Organization Active NPI

Mind Over Matter Professional Counseling Services

  • Professional Counselor
  • Bellefonte, PA
National Provider Identifier
1619422615
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007780 Issued in PA
Legal business name
MIND OVER MATTER PROFESSIONAL COUNSELING SERVICES
Practice address
111 S Spring St
Bellefonte, PA 16823-1335
Phone
(814) 571-6620
NPI assigned
Aug 19, 2016
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Amber Kresovich, LPCNPI 1639375512
Title
Licensed Professional Counselor
Phone
(814) 571-6620

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
Professional Counselor 101YP2500X PC007780 PA Primary

Addresses

Primary practice location

111 S Spring St
Bellefonte, PA 16823-1335

Mailing address

138 Archers Glen Rd
Bellefonte, PA 16823-6457
Phone (814) 571-6620

National Provider Directory

National Provider Directory

Locations

107 S Spring St
Bellefonte, PA 16823
Phone (607) 425-3813

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1619422615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ARCHERS GLEN RD",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168236457",
            "telephone_number": "814-571-6620",
            "fax_number": "814-470-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S SPRING ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231335",
            "telephone_number": "814-571-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MATTER PROFESSIONAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "KRESOVICH",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "814-571-6620",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.