{"npi":"1821304544","type":"NPI-2","status":"active","name":{"display":"Forensic Counseling Associates LLC","other":[],"organization_name":"FORENSIC COUNSELING ASSOCIATES LLC","authorised_official":"Lori Bertanzetti"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":false,"state":null,"license":null},{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1385 POCONO BLVD.","city":"MT. POCONO","state":"PA","postal_code":"18344","country_code":"US","street_2":"FORENSIC COUNSELING ASSOCIATES, LLC","phone":"5704604379","fax":"5704213600"},{"purpose":"MAILING","street_1":"1385 POCONO BLVD.","city":"MT. POCONO","state":"PA","postal_code":"18344","country_code":"US","street_2":"FORENSIC COUNSELING ASSOCIATES, LLC","phone":"5704604379","fax":"5704213600"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"102550736","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110125000375","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"7012196926"}]},"enumeration_date":"2010-08-19","last_updated":"2015-07-15","_meta":{"source":"NPPES","snapshot_date":"2015-07-15","doc_url":"https://findmynpi.com/api"}}