Experience Positive Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PC002613 Issued in PA

Legal business name

EXPERIENCE POSITIVE THERAPY, LLC

Practice address

4221 W Lincoln Hwy
Parkesburg, PA 19365-1780

Phone

(610) 857-8089

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Tina L. O'Connor, LPCNPI 1437366929

Title

Owner

Phone

(610) 857-8089

Specialties & licenses 1

Addresses

Locations

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.

• Tina Louise O'Connor, LPC

  • Professional Counselor
  • Parkesburg, PA
  • NPI 1437366929
  NPD (past) Authorized official

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1922476639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 W LINCOLN HWY",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193651780",
            "telephone_number": "610-857-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 W LINCOLN HWY",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193651780",
            "telephone_number": "610-857-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE POSITIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-857-8089",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC002613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eagles Counseling LLC
• David Michael Eisenberg, LCSW
• Jacqueline Forbes
• Alexandra Rae Friedman, MSW, LSW
• Emily Gilbert, PA-C
• Carol Glover, LCSW
• Richard C Gorgo Jr., D.C.

• Community/Behavioral Health Agency in Parkesburg, PA
• Providers in Parkesburg, 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 Sep 11, 2015; 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.