Healthcare Provider Details

I. General information

NPI: 1235052424
Provider Name (Legal Business Name): DOUGLAS J COLCOMBE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12875 ROUTE 30 STE 21
N HUNTINGDON PA
15642-2595
US

IV. Provider business mailing address

12875 ROUTE 30 STE 21
N HUNTINGDON PA
15642-2595
US

V. Phone/Fax

Practice location:
  • Phone: 724-305-8299
  • Fax: 724-515-7379
Mailing address:
  • Phone: 724-305-8299
  • Fax: 724-515-7379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC020753
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: