Individual provider Active NPI

Joanna V Groebel, MA, R-DMT, LPC

  • Professional Counselor
  • West Reading, PA
National Provider Identifier
1770918229
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006985 Issued in PA
Practice address
641 Penn Ave Rear
West Reading, PA 19611-1161
Phone
(610) 374-8020
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006985 PA Primary

Addresses

Primary practice location

641 Penn Ave Rear
West Reading, PA 19611-1161

Mailing address

1052 Friedensburg Rd
Reading, PA 19606-9218
Phone (610) 370-5713

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC006985PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1770918229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 FRIEDENSBURG RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069218",
            "telephone_number": "610-370-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 PENN AVE REAR",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111161",
            "telephone_number": "610-374-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROEBEL",
        "first_name": "JOANNA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "MA, R-DMT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.