NPIMap

Organization Active NPI

Heathermarie Sportelli

  • Professional Counselor
  • East Stroudsburg, PA
National Provider Identifier
1780070243
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008010 Issued in PA
Legal business name
HEATHERMARIE SPORTELLI
Practice address
529 Seven Bridge Rd
Suite 207
East Stroudsburg, PA 18301-7937
Phone
(570) 730-1234
NPI assigned
Apr 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Heather Marie Sportelli, NCC, LPC
Title
Licensed Professional Counselor
Phone
(570) 730-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X PC008010 PA Primary

Addresses

Primary practice location

529 Seven Bridge Rd
Suite 207
East Stroudsburg, PA 18301-7937

Mailing address

529 Seven Bridge Rd
Suite 207
East Stroudsburg, PA 18301-7937
Phone (570) 730-1234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1780070243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD",
            "address_2": "SUITE 207",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017937",
            "telephone_number": "570-730-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD",
            "address_2": "SUITE 207",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017937",
            "telephone_number": "570-730-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHERMARIE SPORTELLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-11",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "SPORTELLI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "570-730-1234",
        "authorized_official_credential": "NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.