Organization Active NPI

Pure Life Counseling, LLC

  • Professional Counselor
  • Reading, PA
National Provider Identifier
1992552582
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PURE LIFE COUNSELING, LLC
Practice address
2120 Hampden Blvd Ste 2
Reading, PA 19604-1380
Phone
(610) 890-9049
Fax
(717) 420-1501
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Mrs. Zarahis Pichardo, M.A. , LPCNPI 1871235861
Title
Clinical Director/ Owner
Phone
(610) 890-9049

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2120 Hampden Blvd Ste 2
Reading, PA 19604-1380

Mailing address

2120 Hampden Blvd Ste 1
Reading, PA 19604-1380
Phone (717) 964-8325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251113000818 PA Part B Supplier - Clinic/Group Practice 1557852910 Receives reassigned benefits from 1 practitioner
Practice locations: Reading, PA

National Provider Directory

National Provider Directory

Locations

2120 Hampden Blvd
Ste 1
Reading, PA 19604

2120 Hampden Blvd
Ste 2
Reading, PA 19604
Phone (610) 890-9049

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1992552582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HAMPDEN BLVD STE 1",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041380",
            "telephone_number": "717-964-8325",
            "fax_number": "484-220-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HAMPDEN BLVD STE 2",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041380",
            "telephone_number": "610-890-9049",
            "fax_number": "717-420-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "ZARAHIS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "610-890-9049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. , LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.