1295059251 NPI number — MR. JOHN DONALD HOPKINS M.ED. COUNSELOR EDUC

Table of content: MR. JOHN DONALD HOPKINS M.ED. COUNSELOR EDUC (NPI 1295059251)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295059251 NPI number — MR. JOHN DONALD HOPKINS M.ED. COUNSELOR EDUC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPKINS
Provider First Name:
JOHN
Provider Middle Name:
DONALD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.ED. COUNSELOR EDUC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1295059251
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 HUFF AVE.
Provider Second Line Business Mailing Address:
KREINBROOK PSYCHOLOGICAL SERVICES
Provider Business Mailing Address City Name:
GREEENSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15601-5318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-836-3960
Provider Business Mailing Address Fax Number:
724-836-7286

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40 HUFF AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREEENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-5318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-836-3960
Provider Business Practice Location Address Fax Number:
724-836-7286
Provider Enumeration Date:
03/19/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  PC001375 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YM0800X , with the licence number: PC001375 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: PC001375 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: PC001375 . This is a "COMM. OF PA, DEPT. OF STATE, BUREAU OF OCCL AFFAIRS, ST. BD. OF SW'S, MFT'S AN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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