Sacred Ground, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW007093L Issued in PA

Legal business name

SACRED GROUND, LLC

Practice address

1291 Reading Ave
Boyertown, PA 19512-8186

Phone

(484) 529-3856

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Anne Marie Cormier, MSW, LSW, M.DIV

Title

Psychotherapist/Counselor

Phone

(484) 529-3856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1861762833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 TOWNSHIP LINE RD",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181698",
            "telephone_number": "484-529-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 READING AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195128186",
            "telephone_number": "484-529-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED GROUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/COUNSELOR",
        "authorized_official_telephone_number": "484-529-3856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LSW, M.DIV"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "SW007093L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Reinert, MS, LAT, ATC
• Keith Reitnauer
• Alyssa Marie Rohrbach, M.S.W.
• Jaime Lea Rosen, LSW
• Teresa Ann Russell, PT
• Dennis J Schank, MD
• Katherine Schenk, MA
• Katie Schlessman, COTA
• Joseph Edward Sekulski, D.C.
• Chandrakant C Shah, MD

• Community/Behavioral Health Agency in Boyertown, PA
• Providers in Boyertown, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.