Organization Active NPI

Courtney Behavioral Kirkpatrick

  • Mental Health Counselor
  • Irwin, PA
National Provider Identifier
1780368043
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COURTNEY BEHAVIORAL KIRKPATRICK
Practice address
109 Brush Creek Rd Ste 101
Irwin, PA 15642-9502
Phone
(724) 205-2987
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Courtney KirkpatrickNPI 1215346739
Title
Owner of Entity
Phone
(724) 205-2987

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

109 Brush Creek Rd Ste 101
Irwin, PA 15642-9502

Mailing address

109 Brush Creek Rd Ste 101
Irwin, PA 15642-9502
Phone (724) 205-2987

Other names 1

  • THE WILLOWS COLLECTIVE Doing business as

National Provider Directory

National Provider Directory

Locations

109 Brush Creek Rd
Ste 101
Irwin, PA 15642
Phone (724) 205-2987

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": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1780368043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRUSH CREEK RD STE 101",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429502",
            "telephone_number": "724-205-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BRUSH CREEK RD STE 101",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429502",
            "telephone_number": "724-205-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY BEHAVIORAL KIRKPATRICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "724-205-2987"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WILLOWS COLLECTIVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.