Active NPI
Collective Renewal Counseling LLC
- Professional Counselor
- Chambersburg, PA
National Provider Identifier
1992558472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- COLLECTIVE RENEWAL COUNSELING LLC
- Practice address
- 166 S Main St Ste 212
Chambersburg, PA 17201-2532 - Phone
- (717) 377-9421
- NPI assigned
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Austin Culler, LPC
- Title
- Owner
- Phone
- (717) 377-9421
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
166 S Main St Ste 212
Chambersburg, PA 17201-2532
Mailing address
423 Stouffer Ave
Chambersburg, PA 17201-2854
Phone (717) 377-9421
National Provider Directory
National Provider DirectoryLocations
166 S Main St
Ste 212
Chambersburg, PA 17201
Phone (717) 377-9421
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chambersburg, PA
- NPI 1487078366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1992558472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 STOUFFER AVE",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012854",
"telephone_number": "717-377-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 S MAIN ST STE 212",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012532",
"telephone_number": "717-377-9421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLECTIVE RENEWAL COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-06",
"status": "A",
"authorized_official_last_name": "CULLER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "AUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-377-9421",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.