NPIMap

Organization Active NPI

Effective Interpersonal Counseling Services

  • Point of Service
  • Philadelphia, PA
National Provider Identifier
1780043844
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
6339902 Issued in PA
Legal business name
EFFECTIVE INTERPERSONAL COUNSELING SERVICES
Practice address
1522B Gregg St
Philadelphia, PA 19115-4283
Phone
(215) 698-1978
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. Jonathan Michael Clark, LPC, NCCNPI 1831563105
Title
Owner
Phone
(215) 698-1978

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 6339902 PA Primary

Addresses

Primary practice location

1522B Gregg St
Philadelphia, PA 19115-4283

Mailing address

1522B Gregg St
Philadelphia, PA 19115-4283
Phone (215) 698-1978

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1780043844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522B GREGG ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154283",
            "telephone_number": "215-698-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522B GREGG ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154283",
            "telephone_number": "215-698-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE INTERPERSONAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-698-1978",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "6339902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.