Counseling Services Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

PC000481 Issued in PA

Legal business name

COUNSELING SERVICES GROUP

Practice address

1 N Bacton Hill Rd
Suite 204
Malvern, PA 19355-1047

Phone

(484) 744-1005

Fax

(484) 924-9934

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Carol A Pusey, M.A.,L.P.C.,C.A.C

Title

Therapist

Phone

(484) 744-1005

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1669604773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N BACTON HILL RD",
            "address_2": "SUITE 204",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551047",
            "telephone_number": "484-744-1005",
            "fax_number": "484-924-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BACTON HILL RD",
            "address_2": "SUITE 204",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551047",
            "telephone_number": "484-744-1005",
            "fax_number": "484-924-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "PUSEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "484-744-1005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A.,L.P.C.,C.A.C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC 000481",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": "PC000481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "PC000481",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONALLY CERTIFIED ALCOHOL & DRUG COUNSELOR",
            "identifier": "ICADC 25103",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ADDICTIONS COUNSELOR",
            "identifier": "2518",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL",
            "identifier": "6491",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melanie Gonsecki Coupland, LCSW
• Cradle Heart
• Jill Crawford, LCSW
• Kurt R Crowley, MD
• Kelly Crowly

• Multi-Specialty Clinic/Center in Malvern, PA
• Providers in Malvern, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.