=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891641353
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORION SELECT COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/07/2026
-----------------------------------------------------
Last Update Date | 03/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 5TH ST STE 203
-----------------------------------------------------
City | HUNTINGDON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16652-1549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-251-1696
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 201 5TH ST STE 203
-----------------------------------------------------
City | HUNTINGDON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16652-1549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-251-1696
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRACTITIONER
-----------------------------------------------------
Name | JONATHAN REVELEY-COHEN
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 814-251-1696
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------