Courageous Living Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006492 Issued in PA

Legal business name

COURAGEOUS LIVING COUNSELING SERVICES, LLC

Practice address

22 N Price St Ste a
Pottstown, PA 19464-4912

Phone

(215) 859-1252

Fax

(215) 701-5726

NPI assigned

Nov 15, 2012

Last updated

Aug 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kelley Lynn Giannetti, LPC, NCCNPI 1477802874

Title

Partner and Professional Counselor

Phone

(215) 859-1252

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelley Lynn Giannetti, L.P.C.

  • Professional Counselor
  • Gilbertsville, PA
  • NPI 1477802874
  NPD Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1720322761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N PRICE ST STE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194644912",
            "telephone_number": "215-859-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N PRICE ST STE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194644912",
            "telephone_number": "215-859-1252",
            "fax_number": "215-701-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS LIVING COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "GIANNETTI",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PARTNER AND PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "215-859-1252",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.