WEST SHORE WELLNESS (NPI# 1821522574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821522574 |
| Entity Type | Organization |
| Organization Name | WEST SHORE WELLNESS |
| Practice Address |
20 S 36th St 2nd Floor Camp Hill PA 17011-4355 |
| Practice Telephone | 7173014044 |
| Mailing Telephone | 7173014044 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | MS. SARA E. BUPP (OWNER & CEO) |
| Authorized Official Telephone | 7173014044 |
| Authorized Official Credential | MA, LPC, NCC, CA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PC009582 | PA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PC009582 | PA | Behavioral Health & Social Service Providers |
| N | 405300000X | Prevention Professional | PC009582 | PA | Other Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC009582 | PA | Behavioral Health & Social Service Providers |
| Street Address |
20 S 36TH ST 2ND FLOOR |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942848940 | Banta Counseling Services LLC | Counselor | 3461 Market St Ste 104, Camp Hill, PA 17011-4412 | 2019-12-20 |
| 1417592072 | Kerry Davenport Banta | Counselor | 218 N 29th St, Camp Hill, PA 17011-2904 | 2019-11-07 |
| 1184271058 | Nathan Hempel | Counselor | 4076 Market St Ste 100, Camp Hill, PA 17011-4200 | 2019-08-24 |
| 1518525278 | Amanda Leigh Specht | Counselor | 50 Utley Dr Ste 200, Camp Hill, PA 17011-8031 | 2019-05-29 |
| 1174095210 | Jennifer Park | Counselor | 20 S 36th St Ste 201, Camp Hill, PA 17011-4355 | 2018-12-31 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1154876357 | Teri A. Hagen | Counselor | 1200 Camp Hill Byp Ste 300, Camp Hill, PA 17011-3700 | 2016-08-18 |
| 1669849972 | Debra Trucco | Counselor | 781 Poplar Church Rd, Camp Hill, PA 17011-2314 | 2015-08-24 |
| 1093108441 | Karen Anne Batzler | Counselor | 300 S 22nd St, Camp Hill, PA 17011-5303 | 2015-03-10 |
| 1679644157 | Glenn Phillip Covert | Counselor | 1201 Slate Hill Rd, Camp Hill, PA 17011-8012 | 2006-11-13 |
| Find all providers in CAMP HILL | ||||
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| 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.