LIFEGROWTH MARRIAGE AND FAMILY CENTER (NPI# 1770047359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770047359 |
| Entity Type | Organization |
| Organization Name | LIFEGROWTH MARRIAGE AND FAMILY CENTER |
| Other Organization Name | LIFEGROWTH MARRIAGE AND FAMILY CENTER |
| Practice Address |
5 S Centre Ave Leesport PA 19533-8653 |
| Mailing Address |
1750 Hampden Blvd Reading PA 19604-1604 |
| Practice Telephone | 4844000445 |
| Mailing Telephone | 4844000445 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | GIANNINA KATHERINE REYES (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4844000445 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Lifegrowth Marriage and Family Center | Doing Business As Name - Organization |
| Street Address |
5 S CENTRE AVE |
| City | LEESPORT |
| State | PA |
| Zip Code | 19533-8653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265497259 | Timothy John Makatche | Family Medicine | 5 S Centre Ave, A3, Leesport, PA 19533-8653 | 2006-04-20 |
| 1023583903 | Giannina K. Reyes | Counselor | 5 S Centre Ave, Leesport, PA 19533-8653 | 2018-10-08 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| 1265892376 | Cori White | Counselor | 5 S Centre Ave, Leesport, PA 19533 | 2016-03-02 |
| 1548654866 | Megan Levan | Counselor | 5 S Centre Ave, Leesport, PA 19533-8653 | 2015-03-25 |
| 1659611945 | Kristina Kreiser | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2013-02-22 |
| 1215203146 | Berks Hypnosis and Counseling Services LLC | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2012-03-26 |
| 1851665715 | Lori Konitsky Chaplick | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2012-02-23 |
| 1922308162 | David Adam Arena | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2010-10-21 |
| 1033284047 | Mary Anna Namiotka | Social Worker | 5 S Centre Ave, Suite 203, Leesport, PA 19533-8653 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1386825420 | Med Calls | Health Maintenance Organization | 5 South Center Ave., 204, Leesport, PA 19533 | 2007-11-16 |
| 1851416598 | Sarah K Snyder | Physical Therapy Assistant | 1011 Berks Rd, Leesport, PA 19533 | 2007-03-20 |
| 1114042801 | Jacqueline Rosello | Occupational Therapy Assistant | 1011 Berks Road, Leesport, PA 19533 | 2007-03-20 |
| 1952465460 | John Stephen Hottenstein | Dentist | First & Peach Sts, Leesports, PA 19533 | 2006-12-20 |
| 1336200153 | Darren T Koch | Chiropractor | Schoolside Plaza, Suite 102, Leesport, PA 19533 | 2006-12-13 |
| 1386741882 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 906 W Leesport Rd, Leesport, PA 19533 | 2006-09-20 |
| 1750346441 | Schuylkill Valley Family Practice PC | Family Medicine | 5 S Centre Avenue, Leesport, PA 19533 | 2006-04-18 |
| 1386646875 | Juliet Cook | Nurse Practitioner | 700 Admiral Nelson Dr., Malvern, PA 19533 | 2005-08-15 |
| 1902020282 | Genevieve Beetham Pallas | Physical Therapist | 1011 Berks Rd, Leesport, PA 19533 | 2007-04-11 |
| Find all providers in zip 19533 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386994606 | Alberto E Figueroa | Counselor | 5 S Center Ave Ste A5, Leesport, PA 19533-8653 | 2012-09-13 |
| 1114222692 | Jennifer B Solvino | Counselor | 1027 Christina Dr, Leesport, PA 19533-8800 | 2011-01-14 |
| 1346411147 | David W Brant | Counselor | 770 Leesport Ave, Leesport, PA 19533-9528 | 2008-03-19 |
| 1487126587 | Kelly Ann Cramner | Counselor | 1287 County Welfare Rd, Leesport, PA 19533-9197 | 2018-12-30 |
| 1023583903 | Giannina K. Reyes | Counselor | 5 S Centre Ave, Leesport, PA 19533-8653 | 2018-10-08 |
| 1215203146 | Berks Hypnosis and Counseling Services LLC | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2012-03-26 |
| 1922308162 | David Adam Arena | Counselor | 5 S Centre Ave, Suite A5, Leesport, PA 19533-8653 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427806 | Emerald Grove Wellness LLC | Counselor | 214 Brickyard Rd, Mars, PA 16046-3006 | 2020-11-08 |
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1811598949 | Amy Lynn Protho | Counselor | 3495 Butler St Ste 3, Pittsburgh, PA 15201-1375 | 2020-11-04 |
| 1447851662 | Shari Mcclaren Counseling | Counselor | 1360 Eisenhower Blvd Ste 404, Johnstown, PA 15904-3341 | 2020-11-04 |
| 1467053835 | Margaret A Connors | Counselor | 811 Williamsburg Blvd, Downingtown, PA 19335-4124 | 2020-11-03 |
| 1033719794 | Paul Sliva | Counselor | 1040 E Windhaven Rd # A, Pittsburgh, PA 15205-8700 | 2020-10-30 |
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1477153344 | Brianne Marie Wagner | Counselor | 720 Rowena Dr Ste 202, Ebensburg, PA 15931-2038 | 2020-10-29 |
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIFEGROWTH MARRIAGE AND FAMILY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.