NPIMap

Organization Active NPI

Cranberry Confidential Counseling and Coaching Services

  • Preferred Provider Organization
  • Cranberry Township, PA
National Provider Identifier
1649705674
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
PC008344 Issued in PA
Legal business name
CRANBERRY CONFIDENTIAL COUNSELING AND COACHING SERVICES
Practice address
2009 Mackenzie Way Ste 100
Cranberry Township, PA 16066-5338
Phone
(724) 720-9320
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Mrs. Susan Lea Johnson, LPC
Title
Practice Manager
Phone
(724) 720-9320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X PC008344 PA Primary

Addresses

Primary practice location

2009 Mackenzie Way Ste 100
Cranberry Township, PA 16066-5338

Mailing address

2009 Mackenzie Way Ste 100
Cranberry Township, PA 16066-5338
Phone (724) 720-9320

Other identifiers 3

IdentifierTypeStateIssuer
101YA0400XOtherPAINDIVIDUAL IDENTIFIER
101YM0800XOtherPAINDIVIDUAL PROVIDER
101YP2500XOtherPAINDIVIDUAL IDENTIFIER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1649705674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 MACKENZIE WAY STE 100",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665338",
            "telephone_number": "724-720-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MACKENZIE WAY STE 100",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665338",
            "telephone_number": "724-720-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBERRY CONFIDENTIAL COUNSELING AND COACHING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "724-720-9320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "PC008344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL IDENTIFIER",
            "identifier": "101YA0400X",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER",
            "identifier": "101YM0800X",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL IDENTIFIER",
            "identifier": "101YP2500X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.