Evergreen Counseling Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PC007703 Issued in PA

Legal business name

EVERGREEN COUNSELING CENTER

Practice address

20A Beech St
Carlisle, PA 17013-3105

Phone

(814) 244-3072

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Kelly Sult, MS, LPCNPI 1144623083

Title

Licensed Professional Counselor

Phone

(717) 658-0885

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly Sult

  • Professional Counselor
  • Chambersburg, PA
  • NPI 1144623083
  NPD Authorized official

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1972083368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18608 WILDERNESS WAY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20A BEECH ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133105",
            "telephone_number": "814-244-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "SULT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "717-658-0885",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "PC007703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Escabi
• Paul Estes, LPC
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• David B Evans, MD
• Koratrona Boijona-Elizabeth Evans, DPT
• Terri Everhard, LPT
• Anita Fabert, R.PH.
• Erin Faller
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• Kevin Lee Faust, MS, LPC, NCC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.