Organization Active NPI

Collective Renewal Counseling LLC

  • Professional Counselor
  • Chambersburg, PA
National Provider Identifier
1992558472
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Matthew Austin Culler, LPCNPI 1487078366
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.