Benjamin Edward Shoch, MA, NCC, LPC
Individual provider Active NPI Mental Health Counselor · Northumberland, PA
NPI 1639650641 · NPPES record last updated Aug 27, 2018
Key facts
- NPI
- 1639650641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PC010634 (PA)
- Practice address
- 311 Jefferson St
Northumberland, PA 17857-9797 - Phone
- (570) 274-9627
- NPI assigned
- Aug 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC010634 | PA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | PC010634 | PA | Yes |
Addresses
Primary practice location
311 Jefferson St
Northumberland, PA 17857-9797
Mailing address
311 Jefferson St
Northumberland, PA 17857-9797
Other providers in Northumberland, PA
- Hannah Roberts
- Robert E Schaffer-Neitz
- Doris Ella Seasholtz
- Shea Alana Sechman
- Tiara D. Shipe
- April C Showver
- Tiffanie Mae Snyder
- Sharon Beth Stuck
- Sun Home Health Services, Inc.
- Sun Home Health Services, Inc.
All providers in Northumberland, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.