Organization Active NPI

Mind, Body and Soul Counseling LLC

  • Professional Counselor
  • Drexel Hill, PA
National Provider Identifier
1790404317
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MIND, BODY AND SOUL COUNSELING LLC
Practice address
4022 Brunswick Ave
Drexel Hill, PA 19026-3406
Phone
(484) 938-8495
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Mrs. Brandelyn Martina Hankins, LPCNPI 1730766031
Title
Holistic Psychotherapist
Phone
(484) 938-8495

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4022 Brunswick Ave
Drexel Hill, PA 19026-3406

Mailing address

491 Baltimore Pike Ste 1134
Springfield, PA 19064-3810
Phone (484) 938-8495

National Provider Directory

National Provider Directory

Locations

491 Baltimore Pike
Ste 1134
Springfield, PA 19064

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": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1790404317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 BALTIMORE PIKE STE 1134",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643810",
            "telephone_number": "484-938-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 BRUNSWICK AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263406",
            "telephone_number": "484-938-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND, BODY AND SOUL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "BRANDELYN",
        "authorized_official_middle_name": "MARTINA",
        "authorized_official_title_or_position": "HOLISTIC PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "484-938-8495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.