Indigo Life Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INDIGO LIFE COUNSELING

Practice address

2542 Green Acres Dr
Allentown, PA 18103-3740

Phone

(484) 244-4712

NPI assigned

Aug 29, 2021

Organization subpart

No

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

Authorized official

Name

Yoly Santana, LCSWNPI 1518410752

Title

Owner/Partner

Phone

(484) 201-9797

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Yoly Mary Santana

  • Clinical Social Worker
  • Allentown, PA
  • NPI 1518410752
  NPD Authorized official
• Veronica Lee Cruz, MSW, LCSW

  • Clinical Social Worker
  • Allentown, PA
  • NPI 1235628462
  NPD

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

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630195200000",
    "number": "1841967585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 BROADWAY # 1003A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043200",
            "telephone_number": "484-244-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 GREEN ACRES DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033740",
            "telephone_number": "484-244-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-29",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "YOLY",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "484-201-9797",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@indigolifecounseling.com",
            "affiliation": "N",
            "endpointDescription": "official email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2542 Green Acres Dr",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181033740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2021; 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.