Organization Active NPI

Bodhi Counseling Group LLC

  • Clinical Social Worker
  • Shillington, PA
National Provider Identifier
1659789113
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BODHI COUNSELING GROUP LLC
Practice address
122 W Lancaster Ave Ste 205
Shillington, PA 19607-1874
Phone
(610) 804-8909
Fax
(610) 670-2953
NPI assigned
Jul 29, 2014
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Dorothy E Putnam-Baker, LCSWNPI 1316241250
Title
Owner
Phone
(610) 804-8909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

122 W Lancaster Ave Ste 205
Shillington, PA 19607-1874

Mailing address

122 W Lancaster Ave Ste 205
Shillington, PA 19607-1874
Phone (610) 804-8909

Other practice location 1

38 E Lancaster Ave
Shillington, PA 19607-2632
Phone (610) 790-4199

Other names 1

  • Mifflin Counseling Group Former legal business name

National Provider Directory

National Provider Directory

Locations

122 W Lancaster Ave
#2
Shillington, PA 19607

122 W Lancaster Ave
Ste 2
Shillington, PA 19607
Phone (484) 388-6188

122 W Lancaster Ave
Ste 203
Shillington, PA 19607
Phone (484) 388-6188

122 W Lancaster Ave
Ste 205
Shillington, PA 19607
Phone (484) 588-4131

Practitioners & affiliated clinicians

Practitioners 3

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": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1659789113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W LANCASTER AVE STE 205",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071874",
            "telephone_number": "610-804-8909",
            "fax_number": "610-670-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W LANCASTER AVE STE 205",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071874",
            "telephone_number": "610-804-8909",
            "fax_number": "610-670-2953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Shillington",
            "state": "PA",
            "postal_code": "196072632",
            "country_code": "US",
            "telephone_number": "610-790-4199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODHI COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "PUTNAM-BAKER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-804-8909",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mifflin Counseling Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shillington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.