1992726145 NPI number — COVENANT COUNSELING CNTR

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992726145 NPI number — COVENANT COUNSELING CNTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COVENANT COUNSELING CNTR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MARCIA J SINKOVITZ MS LPC
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992726145
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
38 W BIG SPRING AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17241-1302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-776-3092
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
38 W BIG SPRING AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17241-1302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-776-3092
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SINKOVITZ
Authorized Official First Name:
MARCIA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
717-776-3092

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  PC000623 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 50025785 . This is a "CAP BLUE CROSS PRACT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50025789 . This is a "CAP BLUE CROSS GROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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