Organization Active NPI

Nourish Center

Doing business as Nourish Therapy & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Skippack, PA
National Provider Identifier
1881421402
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NOURISH CENTER
Doing business as
Nourish Therapy & Wellness
Practice address
4060 Skippack Pike
Skippack, PA 19474
Phone
(215) 858-0066
NPI assigned
Sep 17, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mrs. Lauren Bittner, LPC, NCC, CCTP, CCATNPI 1508264557
Title
Clinical Director
Phone
(215) 858-0066

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4060 Skippack Pike
Skippack, PA 19474

Mailing address

PO Box 508
Skippack, PA 19474-0508
Phone (215) 858-0066

Other practice location 1

268 S 9th St
Philadelphia, PA 19107-5735
Phone (215) 858-0066

Other practice location 2

8508 Germantown Avenue
Philadelphia, PA 19118
Phone (215) 858-0066

Other names 1

  • Nourish Therapy & Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1881421402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740508",
            "telephone_number": "215-858-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 SKIPPACK PIKE",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "19474",
            "telephone_number": "215-858-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075735",
            "country_code": "US",
            "telephone_number": "215-858-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8508 Germantown Avenue",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19118",
            "country_code": "US",
            "telephone_number": "215-858-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOURISH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "215-858-0066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC, CCTP, CCAT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nourish Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skippack, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.