Blue Oasis Therapeutic Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLUE OASIS THERAPEUTIC SERVICES LLC

Practice address

2233 Walbert Ave Ste 202
Allentown, PA 18104-1363

Phone

(484) 273-2361

NPI assigned

Dec 26, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janessa Lynn Herman, MS NCC LPCNPI 1508353939

Title

Sole Member

Phone

(484) 273-2361

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Janessa Lynn Herman, M.S., NCC, LPC

  • Professional Counselor
  • Allentown, PA
  • NPI 1508353939
  NPD (past) Authorized official

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1679045967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 HAHNS DAIRY RD",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715322",
            "telephone_number": "484-464-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WALBERT AVE STE 202",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041363",
            "telephone_number": "484-273-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OASIS THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "JANESSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "484-273-2361",
        "authorized_official_credential": "MS NCC LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.