NPIMap

Organization Active NPI

West Shore Wellness

  • Professional Counselor
  • Camp Hill, PA
National Provider Identifier
1821522574
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009582 Issued in PA
Legal business name
WEST SHORE WELLNESS
Practice address
20 S 36TH St
2ND Floor
Camp Hill, PA 17011-4355
Phone
(717) 301-4044
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Ms. Sara E. Bupp, MA, LPC, NCC, CAADCNPI 1053848135
Title
Owner & Ceo
Phone
(717) 301-4044

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X PC009582 PA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X PC009582 PA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC009582 PA Primary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X PC009582 PA

Addresses

Primary practice location

20 S 36TH St
2ND Floor
Camp Hill, PA 17011-4355

Mailing address

20 S 36TH St
2ND Floor
Camp Hill, PA 17011-4355
Phone (717) 301-4044

National Provider Directory

National Provider Directory

Locations

20 S 36th St
Fl 2
Camp Hill, PA 17011
Phone (717) 301-4044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1821522574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S 36TH ST",
            "address_2": "2ND FLOOR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114355",
            "telephone_number": "717-301-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 36TH ST",
            "address_2": "2ND FLOOR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114355",
            "telephone_number": "717-301-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "BUPP",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "717-301-4044",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, NCC, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC009582",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009582",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009582",
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "PA",
            "license": "PC009582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.