Carolena Elizabeth Bomersbach, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC011175 Issued in PA

Practice address

137 Montgomery Ave
Boyertown, PA 19512-1300

Phone

(800) 689-0250

Fax

(484) 363-4015

NPI assigned

Mar 26, 2019

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1982165742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MOWERE RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603000",
            "telephone_number": "336-708-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MONTGOMERY AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121300",
            "telephone_number": "800-689-0250",
            "fax_number": "484-363-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMERSBACH",
        "first_name": "CAROLENA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kenneth C Bingener, DO
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• Boyertown Area School District
• Boyertown Chiropractic Group, PC
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• Boyertown Lions Community Ambulance Service, Inc.
• Boyertown Pharmacy Corp (The Medicine Shoppe)

• Mental Health Counselor in Boyertown, PA
• Providers in Boyertown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.