Organization Active NPI

Soul Studio Counseling, LLC

  • Professional Counselor
  • Reynoldsville, PA
National Provider Identifier
1801624705
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOUL STUDIO COUNSELING, LLC
Practice address
3576 Desire Rd
Reynoldsville, PA 15851-4714
Phone
(814) 201-1529
NPI assigned
Jul 23, 2024
Last updated
Dec 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Authorized official

Name
Erica States, LPCNPI 1679035679
Title
Owner
Phone
(814) 201-1529

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 Counselor 101YP2500X Primary

Addresses

Primary practice location

3576 Desire Rd
Reynoldsville, PA 15851-4714

Mailing address

3576 Desire Rd
Reynoldsville, PA 15851-4714
Phone (814) 201-1529

National Provider Directory

National Provider Directory

Locations

4003 Saltsburg Rd
Ste 102
Murrysville, PA 15668
Phone (412) 407-5877

Practitioners & affiliated clinicians

Practitioners 1

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1801624705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 DESIRE RD",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158514714",
            "telephone_number": "814-201-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 DESIRE RD",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158514714",
            "telephone_number": "814-201-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL STUDIO COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "STATES",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-201-1529",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.