Individual provider Active NPI

Christopher Ferraro

  • Professional Counselor
  • Fleetwood, PA
National Provider Identifier
1689130429
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011751 Issued in PA
Practice address
24 N Franklin St
Fleetwood, PA 19522-1408
Phone
(610) 944-0445
Fax
(610) 944-1196
NPI assigned
Feb 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011751 PA Primary

Addresses

Primary practice location

24 N Franklin St
Fleetwood, PA 19522-1408

Mailing address

4486 Heron Dr
Reading, PA 19606-3549
Phone (610) 704-0930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cferraro@concern4kids.org CONCERN-Professional Services for Children, Youth & Families

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC011751PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tides of Change Behavioral Health Services, LLC Professional Past Accepting new patients
Concern-Professional Services for Children, Youth & Families PastSince Jan 5, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cferraro@concern4kids.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1689130429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 HERON DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063549",
            "telephone_number": "610-704-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N FRANKLIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221408",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cferraro@concern4kids.org",
            "affiliation": "Y",
            "endpointDescription": "Secure email",
            "affiliationName": "CONCERN-Professional Services for Children, Youth & Families",
            "address_1": "24 N Franklin St",
            "city": "Fleetwood",
            "state": "PA",
            "country_code": "US",
            "postal_code": "195221408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fleetwood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.