Active NPI
Gene N Brosius Behavior Analysis Counseling
- Professional Counselor
- Selinsgrove, PA
National Provider Identifier
1780069880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC002400
- Legal business name
- GENE N BROSIUS BEHAVIOR ANALYSIS COUNSELING
- Practice address
- 935 Route 522
Selinsgrove, PA 17870-9714 - Phone
- (570) 412-3046
- NPI assigned
- Jul 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gene Newton Brosius, LPC
- Title
- Owner
- Phone
- (570) 412-3046
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC002400 | PA | Primary |
Addresses
Primary practice location
935 Route 522
Selinsgrove, PA 17870-9714
Mailing address
31 Walnut St
Milton, PA 17847-1217
Phone (570) 412-3046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101992662 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Selinsgrove, PA
- NPI 1841202751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438214400000",
"number": "1780069880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 WALNUT ST",
"city": "MILTON",
"state": "PA",
"postal_code": "178471217",
"telephone_number": "570-412-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 ROUTE 522",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178709714",
"telephone_number": "570-412-3046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENE N BROSIUS BEHAVIOR ANALYSIS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-30",
"last_updated": "2015-07-30",
"status": "A",
"authorized_official_last_name": "BROSIUS",
"authorized_official_first_name": "GENE",
"authorized_official_middle_name": "NEWTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-412-3046",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC002400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101992662",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selinsgrove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.