Organization Active NPI

Interconnection Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Emmaus, PA
National Provider Identifier
1821711037
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INTERCONNECTION COUNSELING, LLC
Practice address
23 N 6TH St # 2
Emmaus, PA 18049-2411
Phone
(484) 893-0756
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Keith John Faust, LPCNPI 1366189086
Title
Licensed Counselor
Phone
(610) 844-5190

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

23 N 6TH St # 2
Emmaus, PA 18049-2411

Mailing address

32 S Broad St FL 2
Nazareth, PA 18064-2117
Phone (610) 844-5190

National Provider Directory

National Provider Directory

Locations

23 N 6th St
#2
Emmaus, PA 18049
Phone (484) 893-0756

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": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1821711037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S BROAD ST FL 2",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642117",
            "telephone_number": "610-844-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N 6TH ST # 2",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492411",
            "telephone_number": "484-893-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCONNECTION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "610-844-5190",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.