NPIMap

Organization Active NPI

Perkiomen Counseling Services LLC

  • Community/Behavioral Health Agency
  • Perkiomenville, PA
National Provider Identifier
1881861912
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PS016276 Issued in PA
Legal business name
PERKIOMEN COUNSELING SERVICES LLC
Practice address
621 Hildebrandt Rd
Perkiomenville, PA 18074-9504
Phone
(610) 754-7608
Fax
(610) 754-7608
NPI assigned
May 8, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Marylynne Kemperman Black, PSY.D.NPI 1508083742
Title
Director
Phone
(610) 754-7608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PS016276 PA Primary

Addresses

Primary practice location

621 Hildebrandt Rd
Perkiomenville, PA 18074-9504

Mailing address

621 Hildebrandt Rd
Perkiomenville, PA 18074-9504
Phone (610) 754-7608

Other names 1

  • Perkiomen Counseling Services LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1881861912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 HILDEBRANDT RD",
            "city": "PERKIOMENVILLE",
            "state": "PA",
            "postal_code": "180749504",
            "telephone_number": "610-754-7608",
            "fax_number": "610-754-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HILDEBRANDT RD",
            "city": "PERKIOMENVILLE",
            "state": "PA",
            "postal_code": "180749504",
            "telephone_number": "610-754-7608",
            "fax_number": "610-754-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKIOMEN COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MARYLYNNE",
        "authorized_official_middle_name": "KEMPERMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-754-7608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS016276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perkiomen Counseling Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Perkiomenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.