Julie A Coughenour, MS LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004158 Issued in PA

Practice address

108 High St
Edinboro, PA 16412-2536

Phone

(814) 734-3975

Fax

(814) 734-3975

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Julie Ann Coughenour Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edinboro Counseling and Psychological Services

  • Professional Counselor
  • Edinboro, PA
  • NPI 1669713178

  Professional

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1821175977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MARYLAND AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054652",
            "telephone_number": "814-323-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HIGH ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122536",
            "telephone_number": "814-734-3975",
            "fax_number": "814-734-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHENOUR",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "COUGHENOUR",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marsha Sue Chase
• Christopher Conn
• Jill Connelly, RDN, LDN
• Reina I Cornejo
• Brett William Cornelius, PA-C
• Teresa Dailey
• Matthew Defrances
• Paige Nicole Dingle
• Jill Ashley Divito, LPC
• Mark Thomas Eberle, PT ATC

• All providers in Edinboro, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.