Active NPI
Vada Taffera, MS, LPC, NCC
- Professional Counselor
- Dunmore, PA
National Provider Identifier
1811629496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017441
- Practice address
- 119 Walnut St
Dunmore, PA 18512-2927 - Phone
- (570) 903-3570
- NPI assigned
- Jun 30, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC017441 | PA | Primary |
Addresses
Primary practice location
119 Walnut St
Dunmore, PA 18512-2927
Mailing address
119 Walnut St
Dunmore, PA 18512-2927
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC017441 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1811629496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 WALNUT ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185122927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WALNUT ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185122927",
"telephone_number": "570-903-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFFERA",
"first_name": "VADA",
"credential": "MS, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.