MR. EMIL JAY KOLICK VIII (NPI# 1134518905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134518905 |
| Entity Type | Individual |
| Full Name | MR. EMIL JAY KOLICK VIII |
| Credential | M.S. |
| Practice Address |
536 Onward Ave Phoenixville PA 19460-5928 |
| Practice Telephone | 4843024425 |
| Mailing Telephone | 4843024425 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | I0147 | PA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
FAC-K1308300929 | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4759 | PA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4498 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IC&RC CERTIFIED CRIMINAL JUSTICE ADDICTIONS PROFESSIONAL | 502300 | 01 | |
| BREINING INSTITUTE: MASTERS LEVEL- REGISTERED ADDICTION SPECIALI | FAC-K1308300929 | 01 | |
| PA | PCB CERTIFIED ALCOHOL AND DRUG COUNSELOR | 4498 | 01 |
| PA | PCB ASSOCIATE PREVENTION SPECIALIST II | 4759 | 01 |
| BREINING INSTITUTE: CERTIFIED CO-OCCURRING DISORDER SPECIALIST | FAC-K1308300929 | 01 | |
| PA | PCB CERTIFIED CRIMINAL JUSTICE ADDICTIONS PROFESSIONAL | 4759 | 01 |
| PA | PCB CERTIFIED INTERVENTION PROFESSIONAL | I0147 | 01 |
| FORENSIC ADDICTIONS COUNSELOR: BREINING INSTITUTE | FAC-K1308300929 | 01 | |
| IC&RC CERTIFIED ALCOHOL AND DRUG COUNSELOR | 802836 | 01 |
| Street Address |
536 ONWARD AVE |
| City | PHOENIXVILLE |
| State | PA |
| Zip Code | 19460-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1801360573 | Pennsylvania Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 710 Wheatland St Ste 1, Phoenixville, PA 19460 | 2019-01-16 |
| 1518482702 | Megan Blair Webb | Massage Therapist | 215 Pine Drive, Phoenixville, PA 19460 | 2017-08-08 |
| 1053867697 | Steven Mehl | Psychologist | 865 Woodlawn Ave., Phoenixville, PA 19460 | 2016-09-01 |
| 1023564762 | Elizabeth Tarka | Internal Medicine | 111 Waverly Circle, Phoenixville, PA 19460 | 2016-09-01 |
| 1477901874 | Valley Forge Family Dentistry | Clinic/Center | 1288 Valley Forge Rd #70, Valley Forge, PA 19460 | 2016-05-26 |
| 1184088429 | Gisselle Vargas | Massage Therapist | 220 Third Ave, Phoenixville, PA 19460 | 2016-04-13 |
| 1992179022 | Monir Morgan | Counselor | 1041 West Bridge Street, Phoenixville, PA 19460 | 2015-12-01 |
| 1437531548 | Hiteshkumar K Nada | Dentist | 247 Schuylkill Road Phoenixville, Phoenixville, PA 19460 | 2015-06-25 |
| 1871995464 | Smart Serve Medical | Durable Medical Equipment & Medical Supplies | 69 Greenbriar Drive, Phoenixville, PA 19460 | 2014-09-25 |
| Find all providers in zip 19460 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075238 | Barry Remes | Counselor | 100 1st Ave, Phoenixville, PA 19460-3700 | 2018-02-28 |
| 1396146619 | Katherine Leigh Patterson | Counselor | 400 Franklin Ave, Suite 240, Phoenixville, PA 19460-3164 | 2014-09-05 |
| 1831436864 | Tammi L Cruice | Counselor | 400 Franklin Ave, Suite 240, Phoenixville, PA 19460-3164 | 2013-01-10 |
| 1093001430 | Hannah Marley | Counselor | 400 Franklin Ave, Suite 240, Phoenixville, PA 19460-3164 | 2011-06-23 |
| 1841425071 | Jennine M Lemke | Counselor | 601 Gay St, Suite #6, Phoenixville, PA 19460-3852 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896851 | Laurelcare South/west LLC | Counselor | 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | 2020-09-23 |
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | PHOENIXVILLE |
| Zip Code | 19460 |
Please comment or provide details below to improve the information on MR. EMIL JAY KOLICK VIII.
| 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.