William B. Ennis, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC005328 Issued in PA

Practice address

595 Bethlehem Pike
Suite 222
Montgomeryville, PA 18936-9710

Phone

(215) 997-7772

NPI assigned

Sep 21, 2012

Last updated

Sep 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyland Counseling Center, Inc.Group PAC ID 5698775146, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ivyland Counseling Center, Inc.

  • Clinical Psychologist
  • Warminster, PA
  • NPI 1497837355
  Medicare reassignment Care Compare group NPD
• Counseling Center at Heritage, LLC

  • Professional Counselor
  • Montgomeryville, PA
  • NPI 1548570526
  NPD (past)

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1689925208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BETHLEHEM PIKE",
            "address_2": "SUITE 222",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369710",
            "telephone_number": "215-997-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BETHLEHEM PIKE",
            "address_2": "SUITE 222",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369710",
            "telephone_number": "215-997-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "WILLIAM",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC005328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Defelice
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• Samantha Desch
• Jenna Suzanne Desrosiers, LCSW
• Laura Marie Dyott, LCSW
• Essential Home Care Services (Essential Hands Home Care)
• Cori Ettelson, LPC
• Nicholas Angelo Faino, DMD
• Karoline Renate Fitz
• For Eyes Optical Co, Inc (For Eyes of PA, Inc.)

• Counselor in Montgomeryville, PA
• Providers in Montgomeryville, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.