Carillon Counseling, LTD.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006473 Issued in PA

Legal business name

CARILLON COUNSELING, LTD.

Practice address

315 Gates St
Philadelphia, PA 19128-4618

Phone

(610) 316-3515

NPI assigned

Apr 19, 2015

Organization subpart

No

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

Authorized official

Name

Vivian D Good, LPC, ACS

Title

President/ Psychotherapist

Phone

(610) 316-3515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429401600000",
    "number": "1720475619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GATES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GATES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284618",
            "telephone_number": "610-316-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON COUNSELING, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-19",
        "last_updated": "2015-04-19",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "610-316-3515",
        "authorized_official_credential": "LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2015; 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.