Active NPI
Christine Alice Dunham, MA
- Mental Health Counselor
- Coolbaugh Township, PA
National Provider Identifier
1801467220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1151 Pocono Blvd
Suite 2
Coolbaugh Township, PA 18466 - Phone
- (570) 243-8787
- NPI assigned
- Jul 7, 2021
- Last updated
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1151 Pocono Blvd
Suite 2
Coolbaugh Township, PA 18466
Mailing address
PO Box 594
Pocono Pines, PA 18350-0594
Phone (570) 730-7853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10067077101 | Other | PA | GEISINGER HEALTH INSURANCE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1801467220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 594",
"city": "POCONO PINES",
"state": "PA",
"postal_code": "183500594",
"telephone_number": "570-730-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 POCONO BLVD",
"address_2": "SUITE 2",
"city": "COOLBAUGH TOWNSHIP",
"state": "PA",
"postal_code": "18466",
"telephone_number": "570-243-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "CHRISTINE",
"middle_name": "ALICE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH INSURANCE ID",
"identifier": "10067077101",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coolbaugh Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.