NPIMap

Organization Active NPI

Ligonier Valley Learning Center

  • Marriage & Family Therapist
  • Ligonier, PA
National Provider Identifier
1811320211
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000733 Issued in PA
Legal business name
LIGONIER VALLEY LEARNING CENTER
Practice address
117 Juniper LN
Ligonier, PA 15658-9727
Phone
(724) 238-0355
Fax
(724) 238-0352
NPI assigned
Aug 21, 2013
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Ms. Rebecca A Faulk, M.ED.,CRC,LPCNPI 1598740862
Title
Director
Phone
(724) 238-0355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000733 PA Primary

Addresses

Primary practice location

117 Juniper LN
Ligonier, PA 15658-9727

Mailing address

117 Juniper LN
Ligonier, PA 15658-9727
Phone (724) 238-0355

Other identifiers 1

IdentifierTypeStateIssuer
1001348580007MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Ligonier Valley Learning Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

117 Juniper Ln
Ligonier, PA 15658
Phone (724) 238-0355

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": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1811320211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 JUNIPER LN",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156589727",
            "telephone_number": "724-238-0355",
            "fax_number": "724-238-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 JUNIPER LN",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156589727",
            "telephone_number": "724-238-0355",
            "fax_number": "724-238-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGONIER VALLEY LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-238-0355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED.,CRC,LPC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001348580007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.