NPIMap

Organization Active NPI

Integrate Therapy and Wellness Collective

  • Mental Health Counselor
  • Gordonville, PA
National Provider Identifier
1801508809
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTEGRATE THERAPY AND WELLNESS COLLECTIVE
Practice address
3749 Country LN
Gordonville, PA 17529-9681
Phone
(610) 883-6005
NPI assigned
Dec 21, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Ambur Gregorio, LSWNPI 1548864614
Title
Mental Health Therapist
Phone
(610) 883-6005

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 MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3749 Country LN
Gordonville, PA 17529-9681

Mailing address

3749 Country LN
Gordonville, PA 17529-9681
Phone (610) 883-6005

National Provider Directory

National Provider Directory

Locations

2727 Old Philadelphia Pike
Ste 2A
Bird in Hand, PA 17505
Phone (717) 594-9633

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1801508809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 COUNTRY LN",
            "city": "GORDONVILLE",
            "state": "PA",
            "postal_code": "175299681",
            "telephone_number": "610-883-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 COUNTRY LN",
            "city": "GORDONVILLE",
            "state": "PA",
            "postal_code": "175299681",
            "telephone_number": "610-883-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATE THERAPY AND WELLNESS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "GREGORIO",
        "authorized_official_first_name": "AMBUR",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "610-883-6005",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordonville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.