Organization Active NPI

Milford Counseling and Consultation LLC

  • Community/Behavioral Health Agency
  • Milford, PA
National Provider Identifier
1689948945
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW017094 Issued in PA
Legal business name
MILFORD COUNSELING AND CONSULTATION LLC
Practice address
104 Bennett Ave Ste 2D
Milford, PA 18337-9760
Phone
(570) 296-5184
Fax
(570) 409-3217
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Robin Anne Engels, LCSWNPI 1326068784
Title
Principal
Phone
(570) 296-5184

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CW017094 PA Primary

Addresses

Primary practice location

104 Bennett Ave Ste 2D
Milford, PA 18337-9760

Mailing address

104 Bennett Ave Ste 2D
Milford, PA 18337-9760
Phone (570) 296-5184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000143 PA Part B Supplier - Clinic/Group Practice 2567621436 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, PA

National Provider Directory

National Provider Directory

Locations

104 W High St
Milford, PA 18337
Phone (570) 296-3825

406 Broad St
Unit 2
Milford, PA 18337
Phone (570) 296-5184

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1689948945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BENNETT AVE STE 2D",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379760",
            "telephone_number": "570-296-5184",
            "fax_number": "570-409-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BENNETT AVE STE 2D",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379760",
            "telephone_number": "570-296-5184",
            "fax_number": "570-409-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD COUNSELING AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "ENGELS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "570-296-5184",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW017094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.