{"npi":"1790950657","type":"NPI-2","status":"active","name":{"display":"Evergreen Counseling Services, Inc.","other":[],"organization_name":"EVERGREEN COUNSELING SERVICES, INC.","authorised_official":"Stephen Brunetti"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"PA","license":"PC003332"},{"code":"104100000X","description":"Social Worker","primary":false,"state":"PA","license":"CW013339"},{"code":"103T00000X","description":"Psychologist","primary":false,"state":"PA","license":"PS016983"},{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":"PA","license":"PS016983"},{"code":"103TF0200X","description":"Forensic Psychologist","primary":false,"state":"PA","license":"PS016983"},{"code":"103TC1900X","description":"Counseling Psychologist","primary":false,"state":"PA","license":"PS016983"},{"code":"103TB0200X","description":"Cognitive & Behavioral Psychologist","primary":false,"state":"PA","license":"PS016983"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"PA","license":"CW013339"}]},"addresses":[{"purpose":"LOCATION","street_1":"1129 INDUSTRIAL PARK RD","city":"VANDERGRIFT","state":"PA","postal_code":"156909646","country_code":"US","street_2":"MAILBOX #29, SUITE 211","phone":"7248459880"},{"purpose":"MAILING","street_1":"PO BOX 472","city":"NATRONA HEIGHTS","state":"PA","postal_code":"150650472","country_code":"US","phone":"7248459880"}],"license":{"state":"PA","number":"CW013339"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080730000221","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"8527132273"}]},"enumeration_date":"2008-04-22","last_updated":"2011-06-14","_meta":{"source":"NPPES","snapshot_date":"2011-06-14","doc_url":"https://findmynpi.com/api"}}