Organization Active NPI

Legoullon Counseling Services

  • Clinical Social Worker
  • Franklin, PA
National Provider Identifier
1700334281
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEGOULLON COUNSELING SERVICES
Practice address
1243 Liberty St
Suite 312
Franklin, PA 16323-1326
Phone
(814) 657-2067
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Julie Anne Legoullon, LCSWNPI 1437437316
Title
Owner
Phone
(814) 657-2067

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1243 Liberty St
Suite 312
Franklin, PA 16323-1326

Mailing address

1243 Liberty St
Suite 312
Franklin, PA 16323-1326
Phone (814) 657-2067

Other identifiers 1

IdentifierTypeStateIssuer
762030MedicaidPA

Other names 1

  • Julie A. LeGoullon Former legal business name

National Provider Directory

National Provider Directory

Locations

1243 Liberty St
Ste 312
Franklin, PA 16323
Phone (814) 657-2067

403 Rocky Grove Ave
Franklin, PA 16323

389 Sugarcreek Dr
Franklin, PA 16323

Practitioners & affiliated clinicians

Practitioners 4

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": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1700334281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 LIBERTY ST",
            "address_2": "SUITE 312",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163231326",
            "telephone_number": "814-657-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 LIBERTY ST",
            "address_2": "SUITE 312",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163231326",
            "telephone_number": "814-657-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGOULLON COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "LEGOULLON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-657-2067",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762030",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julie A. LeGoullon",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Franklin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.