Peak Bloom Counseling and Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PEAK BLOOM COUNSELING AND WELLNESS LLC

Practice address

1000 Noble Energy Dr Ste 282
Canonsburg, PA 15317-7541

Phone

(717) 744-2453

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Corey VansickleNPI 1083060057

Title

Owner/LPC

Phone

(717) 744-2453

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Corey Vansickle, LPC

  • Professional Counselor
  • Canonsburg, PA
  • NPI 1083060057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1699597682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIGHLAND AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153703603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NOBLE ENERGY DR STE 282",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153177541",
            "telephone_number": "717-744-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK BLOOM COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "VANSICKLE",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "717-744-2453"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Pajer-Rogers, DC
• Debra J Panucci, M.D.
• Jessica Paterni
• Sarah Patterson, LPC
• Harry A Patton, D.O.
• Peak Family Dentistry LLC
• Stephanie Kate Petchel, LPC
• Physician Landing Zone, P.C.
• Physician Landing Zone, PC
• Geno A Pisciottano, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.