NPIMap

Organization Active NPI

Edinboro Counseling and Psychological Services

  • Professional Counselor
  • Edinboro, PA
National Provider Identifier
1669713178
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EDINBORO COUNSELING AND PSYCHOLOGICAL SERVICES
Practice address
7052 Route 6N
Edinboro, PA 16412-9610
Phone
(814) 734-3975
Fax
(814) 734-1265
NPI assigned
Mar 7, 2013
Reactivated
Dec 6, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Dr. Victor Masone Jr., PH.D.NPI 1881780435
Title
Psychologist
Phone
(814) 734-3975

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7052 Route 6N
Edinboro, PA 16412-9610

Mailing address

7052 Route 6N
Edinboro, PA 16412-9610
Phone (814) 734-3975

National Provider Directory

National Provider Directory

Locations

108 High St
Edinboro, PA 16412
Phone (814) 734-3975

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1669713178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 ROUTE 6N",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164129610",
            "telephone_number": "814-734-3975",
            "fax_number": "814-734-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7052 ROUTE 6N",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164129610",
            "telephone_number": "814-734-3975",
            "fax_number": "814-734-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINBORO COUNSELING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "deactivation_date": "2022-11-29",
        "reactivation_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "MASONE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-734-3975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.