Individual provider Active NPI

Brad Griesheimer, PASTORAL COUNSELOR

  • Pastoral Counselor
  • Johnstown, PA
National Provider Identifier
1720627805
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
1086 Bedford St
Johnstown, PA 15902
Phone
(814) 242-4178
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Primary

Addresses

Primary practice location

1086 Bedford St
Johnstown, PA 15902

Mailing address

3159 Carpenters Park Rd
Davidsville, PA 15928-9223
Phone (814) 242-4178

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pastorbrad2020@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1720627805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 CARPENTERS PARK RD",
            "city": "DAVIDSVILLE",
            "state": "PA",
            "postal_code": "159289223",
            "telephone_number": "814-242-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 BEDFORD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15902",
            "telephone_number": "814-242-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHEIMER",
        "first_name": "BRAD",
        "credential": "PASTORAL COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pastorbrad2020@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1086 Bedford St",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.