Abide Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ABIDE COUNSELING LLC

Practice address

201 Harvest Fields Drive
Boalsburg, PA 16827-2502

Phone

(814) 826-4140

NPI assigned

Nov 23, 2019

Organization subpart

No

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

Authorized official

Name

Kelly Chismar, LPC, RPT, NCC

Title

Owner, Clinician

Phone

(814) 826-4140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574467200000",
    "number": "1831735927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HARVEST FIELDS DRIVE",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168272502",
            "telephone_number": "814-826-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HARVEST FIELDS DRIVE",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168272502",
            "telephone_number": "814-826-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-11-23",
        "status": "A",
        "authorized_official_last_name": "CHISMAR",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "814-826-4140",
        "authorized_official_credential": "LPC, RPT, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Boalsburg, PA
• Providers in Boalsburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; 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.