=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467315317
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASCENSION POINT BEHAVIORAL HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2025
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1509 UPLAND AVE
-----------------------------------------------------
City | JENKINTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19046-2306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-399-9652
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1509 UPLAND AVE
-----------------------------------------------------
City | JENKINTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19046-2306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-399-9652
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CARSON OIVER ECKARD
-----------------------------------------------------
Credential | MS, LPC, NCC
-----------------------------------------------------
Telephone | 908-399-9652
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------